Associate Director, Claims Documentation & Learning

Hi, we're Oscar. We're hiring an Associate Director, Claims Documentation & Learning to join our Claims 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 Associate Director, Documentation & Learning role is responsible for assisting in the creation of strategic direction of learning initiatives and knowledge management practices including documenting, analyzing, and improving claims processing workflows, policies, and procedures within the operation. This role is responsible for developing and implementing programs that enhance employee skills, improve operational efficiency, and foster a culture of continuous learning and knowledge sharing.

You will report into the Senior Director, Claims.

Work Location

This position is based in our New York City 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.

Pay Transparency

The Base Pay For This Role Is

$149,040

-

$195,615

per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities

Assist in the creation of a holistic claims training and documentation strategy

Deliver claims training strategy inclusive of material creation, feedback to trainees, and adjustments to improve retention and application of the claims training

Develop and maintain detailed process documentation, including standard operating procedures (SOPs), work instructions, and guidelines related to healthcare claims processing specifically.

Develop and implement a continuous improvement process for all Claims documentation, training and ongoing refresher trainings as well as curriculum improvements

Work with internal stakeholders to ensure consistency and accuracy of claims documentation and training materials

Create a system to measure the effectiveness of training programs and knowledge projects in enhancing employee performance

Ensure that practices are integrated into daily operations and aligned with business outcomes

Build, coach, and lead a team that take tremendous care of our internal and external customers, maintaining or improving culture and employee satisfaction

Translate technical or complex information into clear, user-friendly documentation.

Provide effective direction, mentorship, and influence to achieve departmental goals

Stay abreast of industry trends, best practices, and emerging technologies in learning and development

Compliance with all applicable laws and regulations

Other duties as assigned

Requirements

7+ years of experience in a combination of claims operations, learning and development, knowledge management, technical writing or a related field

5+ years of people management and team leadership experience with ability to prioritize, allocate work and manage across multiple high-value projects at once

6+ years of working collaboratively with cross-functional leadership teams

3+ Experience with benefit and contract interpretation or coding in professional/ institutional billing requirements.

3+ Experience analyzing and improving processes and workflows.

Bonus Points

Experience In Healthcare Or Highly Regulated Or Related Field

Operational improvement certification - Green or advanced belt certification

Bachelor’s or Master’s degree in related field

BSN or Clinical experience

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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 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (ai)

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Reasonable Accommodation

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 (accommodations@hioscar.com) to make the need for an accommodation known.

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