Remote Fraud Risk Management Jobs in Atlanta, GA

Hi, we're Oscar. We're hiring an Associate, Total Quality Management to join our Total Quality Management 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 work cross-functionally with business and technical Oscar stakeholders and representing the needs and interests of the department in company wide strategic initiatives and in solving business problems related to internal processes. You will lead the design, optimization, and implementation of processes / improvements / platforms to operations in support of achieving organizational goals. This will require collecting and documenting business requirements, and building and managing project plans. Additionally, it will involve documenting key project decisions, managing project governance, and applying frameworks. Furthermore, it will necessitate analyzing data, and developing and communicating risk mitigation strategies. All of these tasks must be accomplished across disparate initiatives and stakeholders at the same time.

You will report into the Associate Director, Quality.

Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote

Pay Transparency: The base pay for this role is: $87,188 - $114,434 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.

Responsibilities:

• Lead the end-to-end management of cross-functional implementations and projects. This includes creating project plans, engaging stakeholders, and managing cross-functional relationships to drive collaboration. Additionally, it involves mitigating edge cases and ensuring on-time completion.
• Evaluate overall departmental performance by creating, gathering (Big Data query writing & management), analyzing and interpreting data and metrics as well as assisting in development of departmental metrics and implementation of mitigation strategies.
• Develop, maintains, improves Key Performance Indicator (KPI) dashboards.
• Perform trend and variance analysis to identify performance drivers.
• Work with stakeholder teams to ensure audit forecasts align with business objectives and changes.
• Collaboratively works with all relevant internal and external stakeholder groups to formulate proactive implementation, communications, and program strategies for successful change management and risk mitigation initiatives
• Apply strong analytical and modeling skills to solve complex business problems.
• Analyze data to support business teams in making better informed, data-driven decisions. Mentor team members and promotes colleagues' growth and professional development.
• Support other strategic projects as assigned to meet business needs.
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

Requirements:

• 3+ years of work experience in operations and/or health insurance
• 2+ years of experience using data software such as Excel/Google Sheets, SQL, or other data analytics tools
• 2+ years of experience with end-to-end project management with in a cross- functional environment
• 2+ years of experience in administering operational, quality, or analytics platforms, including requirements gathering, workflow documentation, vendor evaluation support, and leading User Acceptance Testing (UAT).
• Experience managing, presenting, and owning stakeholder management
• 2+ years of experience with process improvement methodologies such as Lean, Six Sigma and/or Theory of constraints

Bonus points:

• A bachelor's degree or 3+ years commensurate experience