Hi, we’re Oscar. We’re a fully licensed health insurer. Our goal is to make healthcare simple, transparent, and human.
We’re changing how health insurance works by creating a health care experience that’s intuitive and puts people, not cost or workflows, first. We’re using a consumer-focused and tech-driven approach to do so. This positions us uniquely in the space – and creates one of the biggest opportunities in healthcare.
We brought together leaders from top technology, service and healthcare companies to deliver on our promise and seize this opportunity. We all work side by side in a collaborative, energetic, and creative environment. The result: better people, better ideas, and better healthcare.
What is the Position?
In this role, you will expand and manage a Special Investigations Unit (SIU). Your mandate will include the prevention of fraud, waste, and/or abuse (FWA), and the investigation and resolution of reports of potential FWA, thus generating return on Oscar’s investment in the SIU through savings and recoupments. In so doing, you will develop a team structure and investigative processes that can scale with Oscar’s expansion. You will design and lead cross-functional initiatives, building Oscar’s medical and pharmacy anti-FWA efforts in collaboration with the Data, Insurance Operations, Legal, Network, Clinical, and Tech teams. Finally, you will not only leverage your own experience and industry-standard practices to help Oscar benchmark its FWA activities, but also demonstrate innovation and creativity in exceeding these benchmarks as you make a meaningful impact on the organization’s bottom line.
This role reports to Oscar’s New York-based Vice President of Compliance and Regulatory Affairs.
Deliverables: What you will achieve
During the first 6 weeks you will:
By the end of month 3, you will:
On an ongoing basis you will:
What leads to success in this role?
Must-have qualities include:
Preferred qualifications include:
We think you will love this job if you...
At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we work to cultivate an environment where exceptional people can be their most authentic selves and find both belonging and support. We're on a mission to change healthcare -- an experience made whole by your unique background and perspectives.
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 ([email protected]) to make the need for an accommodation known.
Pay Transparency Policy: Oscar's Pay Transparency Policy ensures that you won't be discharged or discriminated against based on whether you've inquired about, discussed, or disclosed your pay. Read the full policy here.
Life at Oscar:
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.
We aim to make health care affordable and accessible for all, and apply this same vision to our perks and benefits, including: medical benefits, generous paid-time off, paid parental leave, retirement plans, company social events, stocked kitchens, wellness programs, and volunteer opportunities.
Oscar Health
New York New York
United States
Customer Service / Call Center
(No Timezone Provided)
Hi, we’re Oscar. We’re a fully licensed health insurer. Our goal is to make healthcare simple, transparent, and human.
We’re changing how health insurance works by creating a health care experience that’s intuitive and puts people, not cost or workflows, first. We’re using a consumer-focused and tech-driven approach to do so. This positions us uniquely in the space – and creates one of the biggest opportunities in healthcare.
We brought together leaders from top technology, service and healthcare companies to deliver on our promise and seize this opportunity. We all work side by side in a collaborative, energetic, and creative environment. The result: better people, better ideas, and better healthcare.
What is the Position?
In this role, you will expand and manage a Special Investigations Unit (SIU). Your mandate will include the prevention of fraud, waste, and/or abuse (FWA), and the investigation and resolution of reports of potential FWA, thus generating return on Oscar’s investment in the SIU through savings and recoupments. In so doing, you will develop a team structure and investigative processes that can scale with Oscar’s expansion. You will design and lead cross-functional initiatives, building Oscar’s medical and pharmacy anti-FWA efforts in collaboration with the Data, Insurance Operations, Legal, Network, Clinical, and Tech teams. Finally, you will not only leverage your own experience and industry-standard practices to help Oscar benchmark its FWA activities, but also demonstrate innovation and creativity in exceeding these benchmarks as you make a meaningful impact on the organization’s bottom line.
This role reports to Oscar’s New York-based Vice President of Compliance and Regulatory Affairs.
Deliverables: What you will achieve
During the first 6 weeks you will:
By the end of month 3, you will:
On an ongoing basis you will:
What leads to success in this role?
Must-have qualities include:
Preferred qualifications include:
We think you will love this job if you...
At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we work to cultivate an environment where exceptional people can be their most authentic selves and find both belonging and support. We're on a mission to change healthcare -- an experience made whole by your unique background and perspectives.
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 ([email protected]) to make the need for an accommodation known.
Pay Transparency Policy: Oscar's Pay Transparency Policy ensures that you won't be discharged or discriminated against based on whether you've inquired about, discussed, or disclosed your pay. Read the full policy here.
Life at Oscar:
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.
We aim to make health care affordable and accessible for all, and apply this same vision to our perks and benefits, including: medical benefits, generous paid-time off, paid parental leave, retirement plans, company social events, stocked kitchens, wellness programs, and volunteer opportunities.