Oscar Health: Lead, Member and Provider Services — Remote

Oscar Health lists a Lead, Member and Provider Services opening in Remote. The job description covers AI, process improvement, Lean, Six Sigma, compliance, insurance, stakeholder management.

Recruitment overview

OrganisationOscar Health
Post / roleLead, Member and Provider Services
DepartmentInsurance Operations
Employment typeNot specified
Notification / job ID8224397
Job locationRemote
Work arrangementRemote
Educational qualificationDegree / qualification: Bachelor's degree
Experience required2+ years experience of provider data experience with a health insurance company
Salary / stipendSee employer notice for pay details
Last date to applySee official notice

About Oscar Health

Oscar Health is a health-insurance business built around a technology platform and member services. Its recruitment board also describes Oscar Medical Group activities in virtual health assessments and virtual care. Those notices reflect distinct parts of the wider operation: insurance products and member administration alongside clinical services. Technology, insurance operations and care delivery consequently appear in different roles on the board, with the employing team determining the service and professional responsibilities of an individual position.

The position and its setting

Oscar Health lists Lead, Member and Provider Services in Remote, under reference 8224397. The details below separate the work described by the employer from essential conditions, preferred experience and practical preparation advice.

  • Department: Insurance Operations
  • Employer listing date: 7 October 2026

Responsibilities and work described

  • The Lead, Provider Services is a provider data and production workflow expert within a payor healthcare environment
  • This role is responsible for creating, implementing, and optimizing production workflows while driving team performance against established goals and KPIs
  • The Lead provides day-to-day coaching and leadership to support staff and partners with cross-functional stakeholders to develop workflow solutions that improve operational efficiency, data accuracy, quality, and overall team performance
  • Report into the Manager, Provider Data Operations
  • Work: Location: This is a remote position, open to candidates who reside in: Arizona
  • Florida
  • Georgia; or Texas
  • While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote
  • Pay Transparency: The base pay for this role is: $55,890 - $73,355 per year
  • You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses
  • Hire and manage a team of Oscar colleagues with direct responsibility for performance management, their growth and development, and associated HR administrative tasks
  • Management: your team's outcomes, monitor dashboards, and track operational KPIs, conducting root-cause analysis and constructing action plans when issues arise
  • Understand and be connected to the type of work your team does on a daily basis, being able to make volume-based decisions that best serve our customers
  • Serve as a central communicator by leading team huddles with Oscar colleagues, connecting colleagues to the mission, vision, and values of Oscar, and providing guidance and motivation to achieve daily operational objectives
  • Be a culture carrier, driving engagement with your team by creating an inclusive and inviting culture that aligns with Oscar's core values
  • Actively lead and participate in continuous improvement activities that drive or influence the improvement and development of a high performing production team

Essential requirements and candidate background

  • 2+ years experience of provider data experience with a health insurance company
  • 1+ year of direct people management experience
  • 1+ years of experience using data and metrics to drive improvements
  • 1+ years of experience working with teams in multiple locations and multiple disciplines
  • Work according to the Work Location section above

Education and qualification routes

  • Degree / qualification: Bachelor's degree

Experience and professional background

  • 2+ years experience solving complex inquiries
  • 1+ years managing projects

Preferred experience and additional strengths

  • Lean Six Sigma or Process Improvement certification
  • Prior healthcare and/or insurance experience
  • Advanced Google Suite or Microsoft Office capabilities
  • This is an authentic Oscar Health job opportunity
  • 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
  • Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts
  • California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy

Location, schedule and contract conditions

For this overseas or regional listing, confirm work authorisation and any location restrictions with the employer. The location does not establish visa sponsorship or permission to work remotely from India.

  • 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
  • Work arrangement: Remote
  • Advertised location: Remote

Pay and application dates

A verified salary figure is not established in this article. An online estimate for another Lead, Member and Provider Services vacancy is not an offer for reference 8224397; use the employer’s own pay disclosure and recruitment communication.

A closing date is not confirmed in this article. Check the current employer page before submitting: an undated posting can change or be withdrawn.

How to apply to Oscar Health

Applications follow the official employer page linked below.

Open the official Oscar Health posting below and match the title and reference 8224397.

Compare your qualifications and experience with the essential conditions for the Remote position, then read the preferred criteria separately.

Prepare an accurate CV and the supporting items requested in that employer’s application. Provide only information and documents you are authorised to share.

Use the employer’s application option, complete the required fields and review the submission. Retain the acknowledgement when one is provided. Job Alerts World does not receive the application.

Practical preparation: AI

An AI-related example should make the task and evaluation explicit. Explain the inputs, the system’s intended output and how you checked errors, usefulness or reliability, rather than relying on the model name alone.

Relevant skills

  • AI/ML
  • MS Office
  • AI
  • process improvement
  • Lean
  • Six Sigma
  • compliance
  • insurance
  • stakeholder management
  • root-cause analysis

Important links

Official notification / job descriptionOpen official page

Read the complete official notice before applying. Availability and requirements can change.

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