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Associate Director, Claims Documentation & Learning

$134.14k - $176.05k

Oscar Health

Hi, we're Oscar. We're hiring an Associate Director, Claims Documentation & Learning to join our Claims team. About the role The Associate Director, Documentation & Learning role is responsible for assisting in the creation of strategic direction of learning initiatives and knowledge management practices including documenting, analyzing, and improving claims processing workflows, policies, and procedures within the operation. This role is responsible for developing and implementing programs that enhance employee skills, improve operational efficiency, and foster a culture of continuous learning and knowledge sharing. You will report into the Senior Director, Claims. Work Location This is a remote position, open to candidates who reside in Dallas, Texas. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. Pay Transparency Base pay: $134,136 - $176,053 per year. Eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. Responsibilities Assist in the creation of a holistic claims training and documentation strategy Deliver claims training strategy inclusive of material creation, feedback to trainees, and adjustments to improve retention and application of the claims training Develop and maintain detailed process documentation, including standard operating procedures (SOPs), work instructions, and guidelines related to healthcare claims processing specifically. Develop and implement a continuous improvement process for all Claims documentation, training and ongoing refresher trainings as well as curriculum improvements Work with internal stakeholders to ensure consistency and accuracy of claims documentation and training materials Create a system to measure the effectiveness of training programs and knowledge projects in enhancing employee performance Ensure that practices are integrated into daily operations and aligned with business outcomes Build, coach, and lead a team that takes tremendous care of our internal and external customers, maintaining or improving culture and employee satisfaction Translate technical or complex information into clear, user-friendly documentation. Provide effective direction, mentorship, and influence to achieve departmental goals Stay abreast of industry trends, best practices, and emerging technologies in learning and development Compliance with all applicable laws and regulations Other duties as assigned Requirements 7+ years of experience in a combination of claims operations, learning and development, knowledge management, technical writing or a related field 5+ years of people management and team leadership experience with ability to prioritize, allocate work and manage across multiple high-value projects at once 6+ years of working collaboratively with cross-functional leadership teams 3+ years of experience with benefit and contract interpretation or coding in professional/ institutional billing requirements. 3+ years of experience analyzing and improving processes and workflows. Bonus points Experience in healthcare or highly regulated or related field Operational improvement certification - Green or advanced belt certification Bachelor’s or Master’s degree in related field BSN or Clinical experience Reasonable Accommodation 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 (View email address on click.appcast.io) to make the need for an accommodation known. Equal Opportunity Employer At Oscar, being an Equal Opportunity Employer means more than upholding discrimination‑free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. #J-18808-Ljbffr Oscar Health

Vacancy posted 1 day ago
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