Oscar Health · 19 hours ago
Senior Manager, Clinical
United States
Full-time
Remote
Senior Level
$119K/yr - $156K/yr
6+ years expOscar is a health insurance company focused on serving its members through a full stack technology platform. The Senior Manager, Clinical will drive clinical performance and collaborate with leadership to achieve departmental objectives while leading and developing clinical teams.
Health CareHealth InsuranceInsuranceInsurTech
Responsibilities
Review and maintain, based on regulatory, accreditation, and organizational requirements, policies and procedures defining the completion of all department functions to ensure they meet the needs of our members, providers and internal/external stakeholders
Ensure team work is completed within established in accordance with department policies and procedures, regulatory and accreditation requirements
Monitor team performance. Engage with MDI, and understand leading / lagging measures across throughput and clinical outcomes
Analyze data to identify performance trends/opportunities for improvement and ensure they are aligned to overall strategy
Work with data analytics to ensure productivity and quality data provides actionable insights on team/individual performance against goals
Drive a culture of accountability and recognition that aligns with department objectives and increases employee engagement
Provide coaching, development and performance management to frontline staff and leaders, evaluating performance against goals throughout the year
Compliance with all applicable laws and regulations
Other duties as assigned
Qualification
Required
Bachelor's degree in Nursing (RN) or Master Degree in Social Work
6+ years of experience in healthcare, science, related field, or medical assistance in a payer or healthcare setting
5+ years experiencing managing/overseeing employees in a healthcare setting
3+ years of experience working in production/operations including case prioritization/case triage
1+ years leading process improvement initiatives or large scale projects
Working knowledge of NCQA and state/federal regulatory requirements for the areas served by the team
Preferred
Proficiency using case ticketing systems such as Jira, Medecision, and/or Appian to prioritize and document team activities
Proficiency in creating and working with Google Sheets, Slides, Docs and using applications to create presentations to stakeholders, and senior leadership
Experience communicating with senior leadership in a live (virtually or in-person) setting or by email or electronic communication
Strong computer literacy, able to work effectively in multiple platforms
Experience performing quality of care investigations or quality auditing for a healthcare organization
Experience leading employees and presenting to large groups in a virtual environment
Experience implementing process improvement strategies/Lean Six Sigma
Benefits
Medical, dental, and vision benefits
11 paid holidays
Paid sick time
Paid parental leave
401(k) plan participation
Life and disability insurance
Paid wellness time and reimbursements
Company
Oscar Health
Oscar is a health insurance company that offers individual and family plans, medicare advantages, and small group products.
1001-5000 employees
H1B Sponsorship
Oscar Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (19)
2024 (24)
2023 (22)
2022 (36)
2021 (13)
Funding
Current Stage
Public CompanyTotal Funding
$1.99BKey Investors
Tiger Global ManagementAlphabetFounders Fund
2025-09-16Post Ipo Debt· $355M
2021-03-03IPO
2020-12-17Private Equity· $140M
Leadership Team
Mark Bertolini
Chief Executive Officer
Steven B. Kelmar
Executive Vice President & COS
Recent News
Investor's Business Daily
2025-12-18
Investor's Business Daily
2025-12-13
Company data provided by crunchbase