Senior Program Manager with 5+ years experience managing product development processes at Stanley Black & Decker. This hybrid role involves cross - functional leadership and project management.
About the role
- UM Program Operations Manager executing insurance programs and leading cross-functional initiatives at Oscar Health. Ensuring regulatory compliance and operational soundness in program execution.
Responsibilities
- Lead the end-to-end execution and refresh cycles for "Gold Card" and "Provider Incentive" programs.
- Act as the primary owner of the "Source of Truth" for the Prior Authorization list.
- Ensure all UM programs meet state and federal mandates.
- Develop and maintain the Standard Operating Procedures (SOPs) for net-new initiatives.
- Drive the recurring refresh cycles for auto-approval rules and provider incentive programs.
- Lead the end-to-end management of cross-functional implementations/projects.
- Evaluate overall departmental performance by creating, gathering, analyzing and interpreting data and metrics.
- Collaboratively works with all relevant internal and external stakeholder groups.
- May oversee team members directly as well as mentors team members.
Requirements
- 4+ years of experience in program management
- 3+ years of experience in delivering projects / programs
- 2+ years of experience in managing prior authorization list process (updates, coordination)
- Experience in payer/health insurance
Benefits
- employee benefits
- participation in Oscar's unlimited vacation program
- annual performance bonuses
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