Job Description
Hi, we’re Oscar. We’re hiring a Quality Improvement Associate to join our Accreditation team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.
About the role:
You will manage the day-to-day operations of a portfolio of projects, and providing support for ongoing projects within Oscar’s Quality Improvement Department. You will ensure program activities are completed in a high quality and timely manner, and you will ensure compliance with all regulatory guidelines such as Medicaid (Medi-Cal), Medicare, CMS, and National Committee for Quality Assurance (NCQA) Accreditation.
You will report to the Quality Improvement Operations Manager.
Work Location: This position is based in our NYC office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid
Pay Transparency: The base pay for this role is: $96,876 - $127,149 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program, and annual performance bonuses.
Responsibilities:
- Key focus areas: NCQA Accreditation, Quality Improvement Program, Population Health Program
- Organize and support daily activities based on the goals of the program
- Identify optimization opportunities and lead process improvement initiatives that align with regulatory expectations and operational goals
- Lead specific components of the program, including timelines, documentation, committee operations, and internal project governance
- Support end-to-end implementations, including stakeholder coordination, progress tracking, risk management, and milestone reporting
- Serve as a liaison between stakeholders and internal teams to promote execution and regulatory alignment
- Assist in the development of meeting content such as agendas, presentations, policy updates, and program documentation to support internal governance
- Support quarterly program and compliance reporting, including data synthesis and presentation for executive and regulatory audiences
- Partner with other departments and stakeholders to ensure operational excellence, including compliance with NCQA, CMS, and other state/federal regulations
- Develop tools, standards, and meeting structures to support team performance and audit readiness
- Track and monitor project controls, risks, and key performance indicators to support compliance and efficiency
- Facilitate project retrospectives to assess operational strengths and gaps, and apply insights to future implementations
- Act as a key contributor in maintaining accreditation and quality improvement documentation standards
- Support training and documentation related to internal policies and regulatory expectations
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements:
- Knowledge of NCQA Accreditation standards & guidelines
- 3+ years of strong project management or operational experience in the health insurance space
- 3+ years experience in change management and process improvement
- 3+ years stakeholder management experience
- Experience with data systems (such as Periscope, Looker)
Bonus points:
- PMP or Six Sigma Certified
This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraudhere.
At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We’re on a mission to change health care – an experience made whole by our unique backgrounds and perspectives.
Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
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Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team ([email protected]) to make the need for an accommodation known.
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