Responsibilities
- Organize and support daily activities based on the goals of the program
- Identify optimization opportunities to support program objectives
- Support implementations end to end to ensure success
- Lead certain components of the program
- Partner with other departments and various stakeholders to ensure operational excellence
- Support a successful program end to end through assisting in project plan development, keeping your stakeholders in the loop on status, proactively flagging, managing escalations, tracking and helping to resolve program risks and milestones, and supporting program retros to assess strengths and weaknesses
- Support the tracking and monitoring of controls
- Develop tools and standards to support team programs year over year based on program retros
- Develop meeting materials, track and follow-up on action items, assist with management of all project plans
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements
- Bachelor's degree or 4 years commensurate experience
- 3+ years working for a PBM, Payer, or Pharmacy Consulting firm, with a focus on reviewing healthcare data
- 3+ years leading cross-functional teams/projects and change management
- 1+ years working with health insurance regulation/compliance
- 1+ years working with technical teams, integrations or product management
Nice to Have
- Experience with medical payer and PBM claims adjudication systems, such as RxClaim
- Experience with pharmacy claim testing and Quality Assurance (QA)
- Experience with a ticketing system (such as Jira or Appian)
- Experience with Project Management systems (such as Monday.com)
- Experience with payers offering ACA/health exchange insurance
Benefits
- medical, dental, and vision benefits
- 11 paid holidays
- paid sick time
- paid parental leave
- 401(k) plan participation
- life and disability insurance
- paid wellness time and reimbursements
- unlimited vacation program
- annual performance bonuses
Additional Information
- This is a remote position
- Future models could potentially involve a hybrid presence at the hub office associated with your metro area
- Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation
- California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our
