Program Lead, Payor Connections/Interoperability
About the role
The Program Lead, Payor Connections/Interoperability will be a key owner of an important interoperability initiative, representing the needs and interests of the Risk Adjustment team. This role is for individuals who thrive with ambiguity and autonomy, and are comfortable building an end-to-end process. Reporting into the Director, Risk Adjustment Retrospective, this position is based in our Tempe, AZ office with a hybrid work schedule.
Responsibilities
- Lead interoperability projects with provider outreach
- Develop relationships with provider group partners and vendors
- Create and maintain project plans
- Help develop operational strategy and market approach
- Collaborate across the organization to identify actions to achieve improvements and monitor initiative impact
- Direct the testing and validation of data connections to ensure compliance and functionality
- Oversee the creation and maintenance of essential operational dashboards, and update and enhance them as our user's needs evolve
- Track development progress, resolve issues related to data quality or integration, and ensure continuous improvement in interoperability programs
- TEFCA subject matter expert
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements
- 3+ years of work experience in health care operations or health insurance; working directly with provider groups
- 2+ years of experience in delivering interoperability projects / programs
- In depth knowledge of TEFCA
- Strong analytical skills
Bonus points
- Risk Adjustment experience
- Basic SQL or BQ query writing experience
Pay, Benefits & Schedule
The base pay for this role is: $91,659 - $120,303 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Work Location: This position is based in our Tempe, AZ office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule.