Remote opportunity at
OSCAR ASSOCIATES (AMERICAS), LLCSenior Specialist, Process improvement (SIU)
Oscar Associates (Americas), LLC is hiring a Senior Specialist, Process improvement (SIU) to work fully from home within eligible United States locations. Oscar operates as a…
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About This Role
Oscar Associates (Americas), LLC is hiring a Senior Specialist, Process improvement (SIU) to work fully from home within eligible United States locations. Oscar operates as a health insurance company built around a full-stack technology platform with the goal of serving its members like a doctor in the family. In this position, the professional will manage Special Investigations Unit intake, triage, and tip research while identifying operational risks and executing technology-driven…
Job Description
Oscar Associates (Americas), LLC is hiring a Senior Specialist, Process improvement (SIU) to work fully from home within eligible United States locations. Oscar operates as a health insurance company built around a full-stack technology platform with the goal of serving its members like a doctor in the family.
In this position, the professional will manage Special Investigations Unit intake, triage, and tip research while identifying operational risks and executing technology-driven solutions. The role involves working cross-functionally to translate stakeholder feedback and data insights into actionable technical business requirements. Responsibilities include conducting root cause analysis, managing projects to meet milestones, supporting cost reduction initiatives, and maintaining secure organizational records.
This role reports directly to the Director, SIU. Depending on geographic location, the base salary ranges between $67,813 and $98,894 per year, supplemented by employee benefits, participation in an unlimited vacation program, and annual performance bonuses. Occasional travel is required for company events and team meetings.
Responsibilities
- Manage Special Investigations Unit intake, triage, and tip research
- Provide rapid root cause analysis and training for escalated operational issues
- Identify, investigate, and resolve operational risks to inform technology solutions
- Deliver solutions based on partner feedback regarding adverse claim outcomes
- Produce quantitative insights using data analysis tools and translate them into technical business requirements
- Identify systemic opportunities using partner submissions, data mining, and process monitoring
- Maintain secure and accurate records in alignment with organizational retention policies
- Coordinate key projects to satisfy service level agreements, milestones, and financial discipline
- Implement initiatives in partnership with leadership to reduce costs and enhance compliant business operations
- Inform key stakeholders regularly regarding project progress, status updates, and blockers
Requirements
- Hold a Bachelor’s degree or possess at least 4 years of commensurate experience
- Accumulate a minimum of 2 years of experience in a technical role or a process improvement role
- Demonstrate at least 2 years of experience working with large data sets using Excel or a database language
- Have at least 1 year of experience deriving business insights from datasets and solving problems
- Possess at least 1 year of experience improving business workflows and processes
- Accumulate at least 1 year of experience collaborating with internal or external stakeholders
Qualifications
- Academic or professional background in engineering, data, or healthcare
- Prior experience working in a professional healthcare claims organization
- Experience working inside or alongside a Special Investigations Unit
- Familiarity with knowledge management, training, or content development in operational settings
- Training in Process Improvement or Lean Six Sigma
- Proficiency in using SQL
Core Skills
Benefits
- Medical, dental, and vision insurance
- 11 paid holidays
- Paid sick time
- Paid parental leave
- Participation in a 401(k) plan
- Life and disability insurance
- Paid wellness time and reimbursements
- Unlimited vacation program
- Annual performance bonuses
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
Is this position remote?
Yes, the job is fully remote and open to U.S. candidates, excluding residents of Alaska, Delaware, Hawaii, Louisiana, Montana, North Dakota, Oklahoma, West Virginia, Wyoming, and U.S. Territories. Occasional travel for team meetings and company events is required.
What is the salary range for this role?
The annual base pay ranges from $75,348 to $98,894 in California, Connecticut, New Jersey, New York, and Washington, and from $67,813 to $89,005 in all other eligible locations. Employees are also eligible for annual performance bonuses.
What are the primary experience requirements?
Candidates must have either a Bachelor's degree or 4 plus years of commensurate experience, along with at least 2 years in a technical or process improvement role. Applicants also need 2 years of experience with large data sets using Excel or a database language, and at least 1 year of experience deriving business insights, improving workflows, and collaborating with stakeholders.
What benefits are provided?
Full-time employees are eligible for medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) participation, life and disability insurance, paid wellness time and reimbursements, participation in an unlimited vacation program, and annual performance bonuses.
Sample Interview Questions
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