Jobs at Oscar Health

Support ACA risk adjustment operations including medical record retrieval, provider outreach, inventory tracking, reporting, and process improvement. Monitor deliverables, assist management with decisions, ensure compliance, and collaborate with internal and external partners to meet CMS/HHS deadlines.

The Associate will generate insights, analyze data for better decision-making, enhance operational dashboards, and collaborate across teams to improve efficiency and report to leadership.

Negotiate and manage single case agreements and provider contracts to build and maintain a provider network. Analyze provider performance and costs, support onboarding and issue resolution, track KPIs, collaborate with internal teams, implement contracting workflows, and support process improvement and compliance efforts.

Own end-to-end health insurance plan and benefit design across assigned markets, translating strategy and regulatory requirements into compliant plan structures. Lead filings (PBT, SBC), optimize processes for scale, drive post-launch performance, partner cross-functionally with actuarial, regulatory, network and operations teams, mentor junior staff, and manage risk and QA to ensure timely, high-quality product launches.

Lead strategy, development, and scaling of innovative individual-market insurance products and incentive platforms. Translate enterprise priorities into scalable offerings, manage product lifecycle from concept to launch and optimization, partner cross-functionally with actuarial, finance, compliance, and vendors, and oversee direct reports while ensuring regulatory compliance and member engagement.

Support provider network accessibility and quality by recruiting, engaging, and onboarding providers. Use demographic data to target outreach, perform daily outreach (calls, emails, in-person), document activities in CRM, assess provider capabilities, and participate in process improvements to meet network adequacy and growth goals.

Lead strategy and delivery for lifestyle-focused health insurance products (employer-subsidized, multicultural, disease- or population-specific, and partnership-based). Build and coach a product team, set roadmaps and priorities, partner cross-functionally (actuarial, markets, network, design, growth), ensure product fileability and compliance, manage performance (growth, retention, affordability, margin), and launch or sunset products to meet enterprise goals. Travel up to 25%.

Lead execution of insurance product lifecycle overseeing regulatory filing, quality assurance, and operational governance. Collaborate with cross-functional teams and vendors to ensure compliance and effective product implementation.

The role involves driving innovation in insurance product development, managing pilot programs, and collaborating across teams to enhance healthcare solutions.

Negotiate and manage contracts with hospitals, health systems, and individual providers to develop networks. Analyze provider performance, reimbursement rates, and claims data to inform decisions. Support onboarding, provider issue resolution, and cross-functional collaboration. Monitor network performance metrics, ensure regulatory compliance, and participate in process improvement and cost-saving initiatives.

Manage and negotiate provider contracts for assigned markets to build and maintain a provider network, analyze provider performance and financials, support network growth and provider recruitment, ensure compliance with regulations and meet contracting SLAs while collaborating with cross-functional teams.

The Corporate Paralegal manages entity workflow, supporting board functions, corporate governance, and compliance while drafting legal documents.

The Manager, Insurance Product Market Research conducts market research, analyzes health trends, and provides strategic insights to support product strategy and decisions.

The Manager will develop health insurance plans, ensuring compliance and accuracy, and partner with various teams for efficient product lifecycle from design to launch.

The Associate Director oversees employer-subsidized product strategy, leading growth, market integration, and compliance across health insurance solutions.

The Senior Manager, Insurance Product Intelligence will lead intelligence programs, support strategic decision-making, and improve product performance through market insights and analysis.

Support ACA market pricing and plan design modeling, produce regulatory filings, provide actuarial guidance across cross-functional teams, maintain pricing models and documentation, and onboard analysts to ensure actuarially sound pricing.

The Senior Director, Markets Strategic Advisory & Intelligence leads market strategy and analytics for product development, overseeing research, performance assessments, and strategic recommendations to support market expansion and optimize the product portfolio.

Manage and coach associate recruiters and network specialists to execute local provider recruitment strategies. Balance personal recruiting with team coaching, lead negotiations and lead generation, ensure accurate recruitment data and compliance reporting, act as super user for network development tools, and maintain high-value provider relationships. Remote, field-based role with frequent travel.

The Sales Executive will drive sales by identifying and qualifying leads, educate prospects on ICHRA, and set up meetings for enrollment.