Beautys Guide

UM Optimization Manager Oscar Health

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Beautys Guide

As a UM Optimization Manager Oscar Health within our Clinical Business Operations, you will work closely with our clinical and non-clinical teams to further drive the success and optimisation of Oscar’s UM operations. You will be responsible for ensuring operational success, including, but not limited to, process improvements, reviewing operational metrics, conducting root cause analysis and facilitating cross-functional support where needed. In addition, you will create, manage, monitor, and report on projects, efforts, and KPIs for your business unit.

You will report to the Associate Director, UM Optimization. It is a remote / work-from-home role. You must exist in one of the following states: Arizona, California, Connecticut, Florida, Georgia, Illinois, Maryland, Massachusetts, Michigan, New Jersey, New Mexico, NY, North Carolina, Ohio, Oregon, PA, Rhode Island, Tennessee, Texas, Utah, Virginia, or Washington. So that you know, this list of states is subject to change.

Responsibilities of UM Optimization Manager Oscar Health

  • Determine and uncover new opportunities for process improvement and operational excellence
  • Identify, scope, and operationalize initiatives that aim to reduce cost, improve efficiency and enhance the experience of critical partners.
  • Provide program oversight to deliver business and operational outcomes proactively.
  • Support your team and leadership by driving decisions and implementation
  • Interface regularly with Oscar business leads to guide discussions and ensure deliverables are completed on time, and remove roadblocks
  • Development and growth of direct reports, ensuring that colleagues support professional development. I have other duties assigned to you.

Qualifications of UM Optimization Manager Oscar Health

  • A bachelor’s degree or commensurate four years of experience
  • Five years of experience in Clinical Business Operations/ Program Management
  • Five years of experience coaching and developing teams
  • Process improvement experience, including using data and metrics to drive improvements in programs
  • Experience/background in a fast-paced operations environment
  • Experience in delivering projects/programs independently and within a team environment
  • Successfully executed enterprise-wide initiatives: defined project plans, coordinated resources, managed implementation activities and developed all processes associated with program rollout and ongoing support

Bonus points: UM Optimization Manager Oscar Health

  • Master’s Degree
  • Lean/Six Sigma Certifications
  • PMP Certifications or Program Management Certifications
  • Healthcare experience (Health Insurance, Health Systems, or Healthcare Consulting)

Life at Oscar: UM Optimization Manager Oscar Health

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. So it means cultivating an environment where people can be their most authentic selves and find belonging and support. We’re on a mission to change health care – an experience made whole by our unique backgrounds and perspectives.

We aim to make health care affordable and accessible for all. We apply this same vision to our perks and benefits, including medical benefits, generous paid time off, paid parental leave, retirement plans, company social events, stocked kitchens, wellness programs, and volunteer opportunities.

Reasonable Accommodation: UM Optimization Manager Oscar Health

Oscar applicants are considered solely based on their qualifications, without favour to the applicant’s disability or need for Accommodation. However, any Oscar applicant who requires reasonable accommodations during the application course should contact the Oscar Benefits Team to ensure they know the need for Accommodation.

Pay Transparency Policy – UM Optimization Manager Oscar Health

Oscar ensures that you won’t be clear or discriminated against based on whether you’ve questioned, discussed, or disclosed your pay. It is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

COVID-19 vaccine requirements for UM Optimization Manager Oscar Health

To protect the well-being and safety of our employees, we require any employee conducting in-person work* to be fully vaccinated against COVID-19 by their start date.

Note: In-person work includes: employees required to work from our offices, employees conducting sales work in the field and employees conducting at-home or in-person visits with members.

About Oscar Health Insurance

Oscar is the first health insurance company made on a full-stack technology platform and a relentless focus on helping our associates. So we founded Oscar in 2012 to create the kind of health plan we would want for ourselves – one that behaves like a family doctor.

So we believe all Americans deserve access to affordable, quality health care that fits their lives—whether it’s families looking for coverage that’s right for young children and their busy parents. Therefore, adults with chronic conditions who need their care providers to know first names, or seniors choosing a benefits package that will aid them through their retirement years – and everybody in between.

How Oscar Health uses Slack to simplify healthcare and keep members happy

In March 2020, US healthcare systems went into overdrive in response to COVID-19. Oscar Health, a direct-to-consumer health insurance company, was on the front lines of the race to launch new services and tests. Therefore, on March 6, Oscar released a risk assessment survey and a testing centre locator for free public use. Therefore, the tools, which typically take months to bring online, were available within days.

So according to Duncan Greenberg, the company’s general manager of products, from conception to reality, the production process attracted multiple technology teams and employees from operations, government regulations and customer service. So “We sped up our normal product development process to almost bypassing it,” he says. “And yet we were able to create something that required the contribution of many people.”

Using Slack to protect member information and build better products

Oscar prides itself on being a technology-driven company. Much of that innovation is the result of cross-functional collaboration. So when Sam Gross, technical product general manager, started the search for a new collaboration solution. He knew he had to bridge the gap between engineering, operations and customer service, at a minimum. In addition, the company wanted a hosted solution to avoid overloading internal technology teams and had to comply with the Health Insurance Compactness and Accountability Act (HIPAA). “We work closely with the Slack team to be HIPAA compliant,” says Gross. Therefore, “During our consideration stage, it became clear that Slack was design to facilitate secure communication between large teams; that was exactly what we needed.”

Leverage Slack channels to priorities the product backlog

Internally, the transparency of Slack channels allows Gross to spot inefficient processes and common pain points. “If a Slack message about an issue spawns a thread of 100 more messages. So that means it’s important, and we may need to create something new,” he says. In addition, gross and other product managers can sync a channel with engaged users to get their feedback. “With channels, you can understand the common problems people face and create tools to mitigate them,” says Gross.

Work more efficiently with Slack apps, integrations, and external channels.

Oscar engineers created a sophisticated Grouchy application that allows technical teams to act on information from other software tools and services within Slack. For example, when Amazon Web Services sent an email about a degraded infrastructure support server, Grouchy immediately alerted Slack engineers. As a result, the engineers managed the transition to a new server “without interruption,” says Gross. So “It all happened in Slack without the need to log in to the Amazon Web Services console. So we got to the point where we could troubleshoot from our mobile phones in Slack.”


As we continue to bring the Oscar practice to new members, states, and markets, our goal will continue to build engagement, earn faith, and help our members live healthier lives. So we have created a suite of services that enable us to receive our members’ beliefs, leverage the power of modified data, and help our members find excellent care they can afford.

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