Associate Director, Authorization Services Operations

We're hiring an Associate Director, Authorization Services Operations to join our Insurance Operations team.

About the role:

You will drive the program governance and KPI/operational metrics setting and reporting for the Authorization Services Team. Additionally, you will support the strategy and implementation of special projects and will deploy tactics that allow us to enhance our overall program value.

You will report into the Senior Director, UM Optimization and Strategy.

Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia. 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. #LI-Remote

Pay Transparency: The base pay for this role is: $162,453 - $213,220 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

• Accountable for operational reporting (progress against KPIs and operational metrics) and forecasting (FTEs needed) for all production teams
• Identify and monitor progress against all KPIs (leadership level) and operational metrics (more regularly monitoring - IP / OP auth/k, avg case time to resolution, cases/hr, etc.) and driving insights to feed to downstream teams
• Set, drive and implement the department strategy to enhance program's overall value including determining and uncovering new opportunities
• Identify and drive execution of cost-savings opportunities by collaborating with key departments
• Program management of important company and department strategy programs
• Continuously evaluate financial and performance metrics dashboards to drive performance improvement and create dashboards for Senior Leadership report outs
• Support the budgeting process and the fiscal performance for the team in association with the leadership team
• Guide overall program governance and accountability for producing executive leadership materials (e.g., Board, QBR, Strategic Updates, Operational Readouts)
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• 7+ years experience in healthcare strategy and operations, and/or related field
• 4+ years of experience managing individual contributors
• 3+ years project planning experience

Bonus points:

• Master's degree
• Utilization Management experience
• Management Consulting experience with a focus on healthcare
• Experience in leading large-scale cross functional initiatives
• Experience with Excel and financial modeling experience

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.


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.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

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.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.