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Lead, Member and Provider Services

Oscar Health - Remote - Remote - posted 2026-10-06

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Salary: USD 55,890 - 73,355 / annual

Oscar Health is hiring a Lead, Member and Provider Services to join the Network Operations team. This role is responsible for creating, implementing, and optimizing production workflows within a payor healthcare environment while driving team performance against established goals and KPIs. You will manage a team of Oscar colleagues, with direct responsibility for performance management, their growth and development, and associated HR administrative tasks. You will monitor dashboards and track operational KPIs, conducting root-cause analysis and constructing action plans when issues arise. The role requires understanding the day-to-day work your team performs and making volume-based decisions that best serve customers. Key responsibilities include: - Hiring and managing a direct team with accountability for performance, development, and HR administration - Managing team outcomes, monitoring dashboards, and tracking operational KPIs with root-cause analysis - Serving as a central communicator through team huddles, connecting colleagues to Oscar's mission, vision, and values - Driving engagement and creating an inclusive culture aligned with Oscar's core values - Leading and participating in continuous improvement activities to develop a high-performing production team - Identifying and closing gaps in existing operational workflows - Collaborating across production and other Oscar teams to implement best practices - Ensuring compliance with all applicable laws and regulations You will report into the Manager, Provider Data Operations. This is a remote position open to candidates residing in Arizona, Florida, Georgia, or Texas. Occasional travel may be required for team meetings and company events. **Requirements:** - 2+ years of provider data experience with a health insurance company - 1+ year of direct people management experience - 1+ year of experience using data and metrics to drive improvements - 1+ year of experience working with teams in multiple locations and multiple disciplines **Bonus qualifications:** - Bachelor's degree - Lean Six Sigma or Process Improvement certification - Prior healthcare and/or insurance experience - Advanced Google Suite or Microsoft Office capabilities - 2+ years experience solving complex inquiries - 1+ year managing projects

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