Director – Case Management Operations
| Company | Oscar Health |
|---|---|
| Location | New Mexico, USA, Washington, USA, Kansas, USA, Pennsylvania, USA, Oregon, USA, Iowa, USA, California, USA, Washington, DC, USA, Vermont, USA, Texas, USA, Jackson Township, NJ, USA, Florida, USA, Waterbury, CT, USA, Nevada, USA, South Carolina, USA, Georgia, USA, Arizona, USA, Concord, NH, USA, Tennessee, USA, Virginia, USA, Minnesota, USA, Rhode Island, USA, Utah, USA, Kentucky, USA, New York, NY, USA, Maryland, USA, Maine, USA, Massachusetts, USA, North Carolina, USA, Missouri, USA, Ohio, USA, Indiana, USA, Michigan, USA, Illinois, USA |
| Salary | $156960 – $228900 |
| Type | Full-Time |
| Degrees | Master’s |
| Experience Level | Expert or higher |
Requirements
- 10+ years experience in healthcare strategy and operations, and/or related field
- 6+ years of management experience
- 5+ years of program design experience, with specific experience around Case Management program design
- 3+ years of Case Management experience driving medical cost savings and health outcomes
- 3+ years experience in leading large-scale cross functional initiatives
- Clinical licensure (clinical social worker, pharmacist, RN)
- Experience modeling in Excel / Google Sheets
Responsibilities
- Set, drive and execute on the Case Management department strategy and vision to deliver meaningful affordability outcomes for Oscar’s population
- Develop direct reports, ensuring the team’s responsibilities are clear, and owners are accountable to outcomes
- Develop and maintain playbooks on how we approach novel ideas via programs and build scalable and repeatable processes to manage down trend
- Understand the competitive landscape of the department and act as a thought leader for the particular SME the department runs
- Work cross functionally with other departments to bring new ideas to life and hold accountable through indirect management (e.g. reducing friction with Member Experience, Med Econ sizing of opportunities)
- Program management of key company and department strategy initiatives
- Own and continuously evaluate financial and outcome performance of the department
- Drive the budgeting process and the fiscal performance for the team
- Report to Senior Leadership on the health of the business
- Compliance with all applicable laws and regulations
- Other duties as assigned
Preferred Qualifications
- Master’s degree
- Management Consulting experience with a focus on healthcare
- Experience in a growth-stage company
- Population Health background
- Experience delivering programs specifically for an ACA population