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Salary: USD 67,813 - 98,894 / annual
Oscar Health is seeking a Senior Specialist, Process Improvement for its Special Investigations Unit (SIU). This role is responsible for supporting process improvement and issue resolution across Oscar's insurance business. You will organize, scope, triage, investigate, and execute solutions by leveraging deep understanding of Oscar's SIU operations, claim infrastructure, workflows, tooling, platform logic, and data models. Working cross-functionally, you'll translate stakeholder friction into actionable improvement opportunities.
Key responsibilities include conducting SIU intake, triage, and tip research; providing rapid root cause analysis and training for escalated issues; identifying operational risks and investigating issues to inform technology-driven solutions; scoping and delivering solutions based on internal and external partner feedback; using data analysis tools to produce quantitative insights and technical business requirements; proactively identifying systemic improvement opportunities through data mining and process monitoring; maintaining accurate records and supporting team organization; coordinating projects to meet SLAs and milestones; partnering on cost optimization and compliance initiatives; and maintaining stakeholder communication on project progress and blockers.
You will report to the Director, SIU. This is a fully remote position open to US candidates, excluding Alaska, Delaware, Hawaii, Louisiana, Montana, North Dakota, Oklahoma, West Virginia, Wyoming, and US Territories. Occasional travel is required for team meetings and company events.
Requirements:
- Bachelor's degree or 4+ years of commensurate experience
- 2+ years in a technical role (QA analyst, PM, operations analyst, finance, consulting, industrial engineering) or process improvement role (Six Sigma or similar)
- 2+ years working with large datasets using Excel or database language
- 1+ years deriving business insights from datasets and solving problems
- 1+ years improving business workflows and processes
- 1+ years collaborating with internal and/or external stakeholders
Bonus qualifications: academic/professional background in engineering, data, or healthcare; experience in professional healthcare claims organizations; SIU experience; knowledge management, training, or content development in operational settings; Process Improvement or Lean Six Sigma training; SQL experience.
