What is the Position?

At Oscar, we’re changing how health insurance works. We want to create a healthcare experience that’s intuitive and puts people first, and we’re using a consumer-focused and tech-driven approach to do so. We work side by side in a collaborative, energetic environment. The result: better people, better ideas, and better healthcare.

In this role, you’ll be responsible for developing Oscar’s operational quality assurance and compliance program. You’ll also work cross-functionally to operations policies, ensure compliance and to support audits. This role will report into the VP of Insurance Operations.

Deliverables:  What you have to achieve

In this role you will...

• Develop our operational Quality Assurance program
• Identify quality goals
• Identify metrics and co-set targets
• Develop QA, QC, and audit processes
• Execute QA, QC and, audit processes
• Establish and manage regulatory Compliance Program
• Support other teams in the development and review of standard operating procedures (SOPs) that are fully compliant
• Support other teams in vendor oversight
• Serve as a resource on  compliance, QA, and operational policy and serve as resource to the operations teams

During your first 8 weeks you have...

• Designed a quality assurance process and begun implementing your solution
• Developed a strong understanding of the regulations that inform Oscar’s operational policy
• Reviewed Oscar’s current policies and identified areas where clarification is needed

Afterwards and on an ongoing basis you will...

• Continue to refine and build the operations QA program
• Execute against the QA program where policy is needed, write policy and get buy in from internal stakeholders
• Support the Operations team in the creation and maintenance of standard operating procedures (SOPs)
• Work with teams on identifying improvement in their processes, SOPs, and policies
• Serve as an internal resource to answer questions on operational policy

Winning factors: What leads to success

Must-have qualifications and expertise include:

• Bachelor’s degree
• 3 - 5 years of experience in either quality assurance or operations management
• You are a systematic thinker who loves to figure out new situations
• You have a drive to get things right and can be a stickler about it
• You work comfortably with other teams
• You are highly organized and detail-oriented
• You love operations

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.