Medicare Advantage Operations Director

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Hi, we’re Oscar. We’re a fully licensed health insurer. Our goal is to make healthcare simple, transparent, and human.

We are changing how health insurance works by creating a healthcare experience that’s intuitive and puts people, not cost or workflows, first. We’re using a consumer-focused and tech-driven approach to do so. This positions us uniquely in the space - and creates one of the biggest opportunities in healthcare.

We brought together leaders from top technology, service and healthcare companies to deliver on our promise and seize this opportunity. We all work side by side in a collaborative, energetic, and creative environment. The result: better people, better ideas, and better healthcare.

In this role, you will play an essential role in launching our Medicare Advantage business. You will be responsible for all aspects of the CMS application, managing our MAO responsibilities, the operationalization of the all application requirements, and ensuring operational audit readiness. You will join our Medicare Advantage team and report directly to the General Manager.

This is an exciting opportunity to be at the forefront of growth at Oscar, helping enable our innovative model reach new members.

What is the position?

  • Own & drive & successfully complete the annual CMS application process
    • Develop a workplan collaboratively with operational teams
    • Support teams in creating the application materials
    • Quality control application materials against CMS & Oscar standards
  • Own & drive & successfully complete the 2020 readiness review
    • Develop a workplan collaboratively with operational teams
    • Support teams in establishing the operational processes
    • Perform audit readiness assessment jointly with Compliance
  • Work collaboratively across all teams and closely with Compliance to ensure application, audit, and subsequent operational readiness

Who are you?

  • You have Bachelor’s Degree or higher
  • You have 7+ years of work experience in managing MAO applications renown organization with high quality bars
  • You have experience in and enjoy managing large projects that require strong organizational skills and collaborating with a broad array of different teams within an organization
  • You are a critical thinker who can distill complex concepts and regulatory requirements into easy to understand action items
  • You have acute attention to detail and always strive for perfection when writing formal documents.
  • You get things done, even if it’s crunch time
  • You have passion for healthcare and a knack for making processes more systematic

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we work to cultivate an environment where exceptional people can be their most authentic selves and find both belonging and support. We're on a mission to change healthcare -- an experience made whole by your unique background and perspectives.

Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team ([email protected]) to make the need for an accommodation known.

Pay Transparency Policy: Oscar's Pay Transparency Policy ensures that you won't be discharged or discriminated against based on whether you've inquired about, discussed, or disclosed your pay. Read the full policy here.

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Location

New York, NY 10013

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