Senior Specialist, Process Improvement

About the role

You will work with business and technical Oscar team members and represent the needs and interests of the department in company wide strategic programs and in solving business problems related to internal processes. You will collect and document requirements, build and manage project plans, document important project decisions and analyze data. You will support the design, optimization, and implementation of processes and improvements to support achieving organizational goals. You will implement repeatable and scalable tools and techniques, and for independently representing the team within the broader organization. You will report into Manager, Process Improvements.

Key facts

What you'll do

Coordinate projects and processes to help ensure you meet important milestones and service levels while driving toward successful outcomes.

Translate complex data analysis into synthesized, visually appealing insights and conclusions that guide decision making for process optimization.

Provide analytical support to identify opportunities, develop strategies, and prioritize projects based on team or organizational opportunities, growth targets and trends.

Partner with leadership to strategize arrangements aimed at lowering overall cost or improving outcomes through data-informed recommendations.

Support implementing process improvement projects and mindset shifts, to improve operational efficiency and achieve performance targets across key workflows.

Maintain relationships with a variety of teams to achieve results for essential programs and ensure alignment on objectives.

With support from leadership, help identify risks; respond to and resolve issues, errors, and escalations through investigation to inform insights for short, medium, and long-term technology-enabled processes and solutions.

Compliance with all applicable laws and regulations in all aspects of process improvement and project execution.

Other responsibilities as assigned by leadership and stakeholders to address evolving business needs.

Contribute to change management and risk mitigation programs by working with all relevant team member groups to provide support and insight for successful implementation.

Requirements

2+ years of professional experience supporting end-to-end project management and process improvement projects from initiation to closure.

2+ years of experience analyzing workflows to improve efficiency, determine causes for process deficiencies, and develop relevant recommendations for resolution.

2+ years of dedicated experience in process improvement and workflow design methodologies.

2+ years of experience presenting information and recommendations aimed at Senior Leadership in a clear, concise, and impactful manner.

Experience leading and working with cross-functional team members to get agreement on decisions and drive alignment.

Strong understanding of compliance requirements and the ability to ensure all activities adhere to applicable laws and regulations.

Demonstrated ability to manage multiple priorities in a fast-paced environment while maintaining attention to detail.

Proficiency in using tools to document processes, map workflows, and track project decisions and dependencies.

Nice to have

Prior work experience in Prior Authorizations or Insurance Operations within a healthcare or related industry.

Experience using project management and communication tools like JIRA, Linear, and Slack to manage workflows and stakeholder communication.

Experience in ACA marketplace operations, provider network management, claims processing, healthcare quality oversight, or provider data management.

Training experience applying Continuous Process Improvement or Lean Six Sigma principles to drive measurable improvements.

Experience working with large datasets, performing data verification, and managing data integrity to support analysis and decision making.

Practical notes

This role 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.

Engagement and compensation details referenced in the source remain aligned with Oscar Health policies and applicable regulations. Applicants must meet the stated eligibility requirements without exception. The position offers participation in Oscar's unlimited vacation program and annual performance bonuses in addition to the base pay range. No additional benefits or incentives are implied beyond those documented in the official source materials.