Remote opportunity at
OSCAR ASSOCIATES (AMERICAS), LLCSenior Specialist, Process improvement (SIU)
Oscar Associates (Americas), LLC is seeking a Senior Specialist, Process improvement (SIU) to support issue resolution and workflow enhancement within its Special Investigations Unit for all…
Career Tools
About This Role
Oscar Associates (Americas), LLC is seeking a Senior Specialist, Process improvement (SIU) to support issue resolution and workflow enhancement within its Special Investigations Unit for all health insurance business. Founded in 2012, Oscar operates as a health insurance company driven by a full-stack technology platform with the goal of serving members effectively. This remote position operates from the worker's home office, though candidates must reside in the United States, excluding…
Job Description
Oscar Associates (Americas), LLC is seeking a Senior Specialist, Process improvement (SIU) to support issue resolution and workflow enhancement within its Special Investigations Unit for all health insurance business. Founded in 2012, Oscar operates as a health insurance company driven by a full-stack technology platform with the goal of serving members effectively. This remote position operates from the worker's home office, though candidates must reside in the United States, excluding Alaska, Delaware, Hawaii, Louisiana, Montana, North Dakota, Oklahoma, West Virginia, Wyoming, and U.S. Territories. Occasional travel is necessary for company events and team gatherings. The person in this role collaborates cross-functionally to identify friction points, conduct root cause analysis, and execute solutions for adverse claim outcomes. The position reports directly to the Director of SIU.
The role involves managing SIU intake, tip research, and triage while delivering technical business requirements derived from data analysis. Professionals in this position design short- and long-term technology-driven solutions, manage projects to meet service level agreements, and maintain secure documentation following retention policies. Base pay ranges from USD 75,348 to USD 98,894 per year in California, Connecticut, New Jersey, New York, and Washington, and from USD 67,813 to USD 89,005 per year in other locations. Additional compensation includes annual performance bonuses, eligibility for employee benefits, and participation in an unlimited vacation program.
Responsibilities
- Manage Special Investigations Unit intake, triage, and tip research
- Perform rapid root cause analysis and provide training for escalated operational issues
- Investigate and resolve operational risks to implement technology-driven solutions
- Scope, prioritize, and deliver solutions regarding adverse claim outcomes based on stakeholder feedback
- Analyze data to generate quantitative insights and translate findings into technical business requirements
- Identify systemic opportunities using partner submissions, data mining, and process monitoring
- Maintain secure records and standard filing practices within shared systems according to retention policies
- Coordinate projects to meet milestones, service level agreements, quality standards, and financial discipline
- Collaborate with cross-functional teams and leadership on cost reduction and compliance initiatives
- Communicate project progress, updates, and blockers transparently to key stakeholders
Requirements
- Possess a Bachelor's degree or at least 4 years of commensurate experience
- Bring a minimum of 2 years of experience in a technical role or a process improvement role
- Have at least 2 years of experience working with large data sets using Excel or a database language
- Demonstrate at least 1 year of experience deriving business insights from datasets and solving problems
- Accumulate at least 1 year of experience improving business workflows and processes
- Show at least 1 year of experience collaborating with internal or external stakeholders
Qualifications
- Academic or professional background in engineering, data, or healthcare
- Experience working in a professional healthcare claims organization
- Prior work experience in or with a Special Investigations Unit
- Experience with knowledge management, training, or content development in operational settings
- Training in Process Improvement or Lean Six Sigma
- Experience using SQL
Core Skills
Benefits
- Medical, dental, and vision benefits
- 11 paid holidays
- Paid sick time
- Paid parental leave
- Participation in a 401(k) plan
- Life and disability insurance
- Paid wellness time and reimbursements
- Participation in an 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 fully remote?
Yes, the role is fully remote and completed from a home office. However, candidates must reside in the U.S. and are excluded if living in Alaska, Delaware, Hawaii, Louisiana, Montana, North Dakota, Oklahoma, West Virginia, Wyoming, or U.S. Territories. Occasional travel is also required for team meetings and company events.
What is the salary range for this role?
The base pay in California, Connecticut, New Jersey, New York, and Washington is USD 75,348 to USD 98,894 per year. In all other approved locations, the base pay ranges from USD 67,813 to USD 89,005 per year.
What experience is required to apply?
Applicants must hold a Bachelor's degree or have 4 or more years of commensurate experience. The role also requires at least 2 years of experience in a technical or process improvement role, 2 years working with large data sets in Excel or a database language, and at least 1 year of experience in deriving business insights, improving workflows, and collaborating with stakeholders.
What additional perks and benefits are included?
Full-time employees are eligible for medical, dental, and vision coverage, 11 paid holidays, paid sick time, paid parental leave, 401(k) participation, life and disability insurance, and paid wellness time and reimbursements. Workers also receive annual performance bonuses and access to an unlimited vacation program.
Sample Interview Questions
AI-generated questions tailored to this specific role — a preview of the full practice set.