Program Lead, Payor Connections/Interoperability

ABOUT THE ROLE As a Program Lead, Payor Connections/Interoperability at Oscar, you will be a key owner of an important interoperability initiative, representing the needs and interests of the Risk Adjustment team. This role is ideal for individuals who thrive with ambiguity and autonomy, and are comfortable building an end-to-end process. You will work with internal and external partners to ensure accurate acquisition of healthcare data from multiple provider systems. WHAT YOU'LL DO As a Program Lead, Payor Connections/Interoperability, you will lead interoperability projects with provider outreach, develop relationships with provider group partners and vendors, create and maintain project plans, and help develop operational strategy and market approach. You will also collaborate across the organization to identify actions to achieve improvements and monitor initiative impact, direct the testing and validation of data connections to ensure compliance and functionality, and oversee the creation and maintenance of essential operational dashboards. Additionally, you will track development progress, resolve issues related to data quality or integration, and ensure continuous improvement in interoperability programs. You will also serve as a subject matter expert on TEFCA and ensure compliance with all applicable laws and regulations. WHAT YOU'LL NEED To be successful in this role, you will need 3+ years of work experience in healthcare operations or health insurance, working directly with provider groups. You will also need 2+ years of experience in delivering interoperability projects or programs, in-depth knowledge of TEFCA, and strong analytical skills. Bonus points will be given to candidates with experience in Risk Adjustment, basic SQL or BQ query writing experience, or other relevant skills. WHY REMOTE This is a remote position, open to candidates who reside in the United States. You will be fully remote, with the possibility of adapting to a hybrid presence at a hub office associated with your metro area in the future. BENEFITS As a full-time employee at Oscar, you will be eligible for benefits including medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. You will also be eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. The base pay for this role is $91,659 - $120,303 per year, with final offer amounts determined by factors including your relevant skills, education, and experience.