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Senior Specialist, Issue Management

Identify and resolve critical operational bottlenecks to improve provider operations

The Senior Specialist, Issue Management supports the design, optimization, and implementation of processes to improve provider operations. They provide day-to-day oversight of critical operational bottlenecks and implement lean, repeatable, and scalable tools and techniques. The role involves independent representation of the team within the broader organization and reporting to the Director, Process Improvement.

Why This Role?

Direct access to leadership and opportunity to independently represent the team within the organization

Key Responsibilities

  • Identify risks and respond to/resolve issues, errors, and escalations through investigation
  • Coordinate projects and processes to ensure key milestones and service levels are met
  • Partner with leadership to strategize, implement, and manage arrangements to lower costs or improve outcomes
  • Collaborate with cross-functional teams to align action plans with continuous improvement goals
  • Support management, stewardship, and analysis of data for compliant and performant business operations
  • Provide recommendations ensuring financial discipline and quality

Requirements

  • 1+ years of professional experience

Required Skills

process improvementdata analysisproject managementcross-functional collaborationlean managementissue managementproject coordinationoperational efficiency

Indonesia Context

Working Hours Overlap:
Flexible — work your own hours
See remote (USD) vs local pay →

Keywords

issue managementprocess optimizationprovider operationsoperational bottleneckslean techniquescontinuous improvement
View Original Description from The Muse

Original description from The Muse

Hi, we're Oscar. We're hiring a Senior Specialist, Issue Management to join our Network Operations team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: The Senior Specialist, Issue Management supports the design, optimization, and implementation of processes and improvements to provider operations in support of achieving organizational goals. The Senior Specialist is responsible for day to day oversight of our most critical bottlenecks in Operations being resolved. The lead will implement lean, repeatable and scalable tools and techniques and independently represent the team within the broader organization. You will report into the Director, Process Improvement 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. #LI-Remote Pay Transparency: The base pay for this role is: $67,813 - $89,004 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: With support from leadership, help identify risks; respond to and resolve issues/errors/escalations through investigation to inform insights for short/medium/long-term technology-enabled processes and solutions Coordinate projects and processes to help ensure key milestones and service levels are met Partner with leadership to strategize, implement, and manage arrangements aimed at lowering overall cost or improving outcomes Partner with cross-functional teams to ensure action plans align with continuous improvement goals, and participate in collaboration with peers and cross-functional stakeholders Support the management, stewardship, and analysis of data to support compliant and performant business operations Provide recommendations that ensure financial discipline and quality Support identifying and implementing process improvement initiatives, as well as mindset shifts, to optimize operational efficiency and achieve performance targets Compliance with all applicable laws and regulations Other duties as assigned Requirements: 1+ years of professional experience in payer or provider operations, provider network management, healthcare operations, or a related field 1+ years of experience using data and metrics to drive improvements 1+ years of experience in process improvement and workflow design 1+ years of experience in developing and presenting information and recommendations aimed at Senior Leadership Bonus points: ACA marketplace, provider network, claims, healthcare quality, or provider data experience Management consulting experience Training or experience applying Continuous Process Improvement or Lean Six Sigma principles Experience with project coordination or management in a matrixed organization Experience supporting RFP development and implementation of software or service solutions 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

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Remote-friendly · fits your timezone
Source
The Muse
Job Type
full time
Location
Remote · Open worldwide
Category
Seniority
senior
PostedFresh
Jul 8, 2026

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Frequently asked questions

Is Senior Specialist, Issue Management at Oscar Health a remote job?
Yes. Senior Specialist, Issue Management at Oscar Health is a fully remote role open to candidates worldwide.
What type of employment is Senior Specialist, Issue Management at Oscar Health?
This is a full time position.
How do I apply?
Click the "Apply" button on this page to go to the official application at Oscar Health.

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