Manager, Claims Intake

Hi, we're Oscar. We're hiring a Manager, Claims Intake to join our Claims Production team.

Oscar is the first health insurance company built around a full stack technology platform and a 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 Manager, Claims Intake is responsible for the engagement, development, and results of a team driving Claims Production Processing. The Manager plays a critical role in Claims production to ensure that Oscar members' claims are processed in a timely and accurate manner.

You will report to the Associate Director, Claims Production.

Work Location: 

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.  

You must reside in one of the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $88,800 - $116,550 per year. The base pay for this role in all other locations is: $79,920 - $104,895 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program and annual performance bonuses.

Responsibilities

• Accurately ensure all claims, medical records, dispute or other correspondence received are submitted and matched appropriately into claims system and ensuring that all corresponding documentation is properly saved to member files
• Oversee and coordinate submission of claims 
• Ensure correct supporting documentation to each claim as well as accuracy and completeness of work
• Learn and effectively use proprietary software programs essential for the job
• Ensure team meets daily, monthly and annual  production goals and performance objectives for both quality and productivity
• Creating, tracking, and implementing best practices for Production Management to improve overall member experience through daily queue management and production tracking.
• Utilize frameworks to intentionally develop and coach your team in order to build future leaders within the organization 
• Take a proactive, forward-thinking and data-driven approach to identify concerns, inefficiencies, and operational improvement initiatives throughout the Claims space that drive desired cultural and operational outcomes
• Compliance with all applicable laws and regulations 
• Other duties as assigned

Qualifications

• Bachelor's degree or 4 years of commensurate experience
• 4+ years of experience leading, coaching and developing direct reports in a healthcare claims production environment
• 3+ years of experience with using data and metrics to problem solve and drive root cause analysis

Bonus Points

• Proficiency in Microsoft Office Suite
• Process Improvement or Lean Six Sigma training, certification
• Experience as a leader in a remote environment
• Experience in BPO or Call Center environments