Pharmacy Program Associate

Pharmacy Program Associate

Company: Oscar Health
Location: New York, NY (Hybrid: 3 days/week in office, Thursdays required)

About Oscar Health:

Oscar is the first health insurance company built around a full-stack technology platform and a relentless focus on serving our members. Founded in 2012, Oscar aims to be 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 be responsible for supporting all aspects of program implementation, including post-implementation oversight and monitoring to ensure success. You will also support operational improvements for core operations, ensuring proper controls and monitoring for efficiency and effectiveness. This role involves supporting programs across the organization, implementing project management fundamentals, and establishing relationships with key internal and external stakeholders to ensure business alignment and support change management. You will report to the Director, Pharmacy Programs.

Work Location:

This position is based in our New York 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; other office days are flexible. #LI-Hybrid

Responsibilities:

• Organize and support daily activities aligned with program goals.
• Identify optimization opportunities to support program objectives.
• Support implementations end-to-end to ensure success.
• Lead specific program components.
• Partner with other departments and various stakeholders to ensure operational excellence.
• Support successful program execution by assisting in project plan development, providing status updates, proactively flagging issues, managing escalations, tracking and resolving program risks and milestones, and supporting program retrospectives.
• Support the tracking and monitoring of controls.
• Develop tools and standards to support team programs year over year based on program retrospectives.
• Prepare meeting materials, track and follow up on action items, and assist with the management of all project plans.
• Ensure compliance with all applicable laws and regulations.
• Perform other duties as assigned.

Requirements:

• Bachelor's degree or 4 years of commensurate experience.
• 3+ years working for a PBM, Payer, or Pharmacy Consulting firm, with a focus on healthcare data review.
• 3+ years leading cross-functional teams/projects and managing change.
• 1+ years working with health insurance regulation/compliance.
• 1+ years working with technical teams, integrations, or product management.

Bonus Points:

• Experience with medical payer and PBM claims adjudication systems (e.g., RxClaim).
• Experience with pharmacy claim testing and Quality Assurance (QA).
• Experience with ticketing systems (e.g., Jira or Appian).
• Experience with Project Management systems (e.g., Monday.com).
• Experience with payers offering ACA/health exchange insurance.

Pay Transparency:

• Base Pay: $96,876 - $127,149 per year.
• Eligibility: Employee benefits, Oscar's unlimited vacation program, and annual performance bonuses.
• 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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