Team Lead

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.

• The CGA Team Lead is responsible for managing the day to day needs of the team to ensure compliance with Federal and State regulations and timeframes on all case types and lines of business.
• Apply critical thinking to ensure proper workflows are in place to meet/exceed internal and external SLAs and TATs.
• Deliver coaching, feedback and recognition as warranted to support direct reports.
• Leverage advanced understanding of state and federal regulations to ensure accuracy of deliverables/cases.
• Monitor performance for direct reports for timely and accurate processing of complaints, grievances, appeals, attendance, schedules, and other job related behavior.
• Identify and coordinate team member training needs based on performance, as well as team trends that may require implementing process improvements.
• Be accountable for team metrics and compliance.
• Manage day-to-day needs of your team.
• Monitor and review case management dashboards and error reports to ensure productivity and case accuracy and timeliness.
• Give direct reports regular feedback on performance and help support corrective action procedures, up to and including separation, with manager and HR oversight when needed.
• Perform inventory management and ensure that work is distributed appropriately in order to meet defined production standards and turn-around times.
• Answer internal and external customer questions, assists peers and Manager or Associate Director with tasks.
• Act as a liaison between CGA and other business units, as needed and in partnership with CGA management, as it pertains to CGA processes.
• Act as a Subject Matter Expert (SME) for area(s) of responsibility.
• Make recommendations and help lead process improvements as needs are identified.
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

• 3+ years of relevant experience directly related to this role.
• 2+ years experience with and equivalent knowledge of Commercial Insurance, Medicare/Medicaid and/or Affordable Care Act rules and regulations relating to the Grievance & Appeals processes.
• 1+ years experience with or relevant knowledge of navigating Google Docs and Sheets.

• This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas.
• Occasional travel may be required for team meetings and company events.
• 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.