Senior Specialist, Issue Management

Oscar Health

. Identify risks and resolve issues, errors, and escalations through investigation .

Posted 10/30/2026full-timeRemote • United StatesSenior💰 $67,813 - $80,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in process improvement, data management, and operational efficiency within healthcare operations. Proven ability to collaborate with cross-functional teams and present actionable recommendations to Senior Leadership.

Highest-signal resume keywords

Process ImprovementData AnalysisHealthcare OperationsWorkflow DesignCross-Functional Collaboration

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data ManagementOperational EfficiencyMetrics AnalysisProject CoordinationCost Reduction Strategies

Soft Skills

Problem SolvingCommunicationStrategic ThinkingCollaborationLeadership

Industry Keywords

Payer OperationsProvider Network ManagementCompliancePerformance TargetsContinuous Improvement

About the role

Key responsibilities & impact

Identify risks and resolve issues, errors, and escalations through investigation
Inform short-, medium-, and long-term technology-enabled processes and solutions
Coordinate projects and processes to ensure key milestones and service levels are met
Strategize, implement, and manage arrangements to lower costs or improve outcomes
Partner with cross-functional teams on action plans and continuous improvement goals
Support data management, stewardship, and analysis for compliant and performant operations
Provide recommendations supporting financial discipline and quality
Identify and implement process improvement initiatives to optimize operational efficiency and achieve performance targets
Comply with applicable laws and regulations
Perform other duties as assigned

Requirements

What you’ll need

1+ years of professional experience in payer or provider operations, provider network management, healthcare operations, or a related field
1+ years of experience using data and metrics to drive improvements
1+ years of experience in process improvement and workflow design
1+ years of experience in developing and presenting information and recommendations aimed at Senior Leadership

Benefits

Comp & perks

Employee benefits
Unlimited vacation program
Annual performance bonuses
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