Associate, Quality Improvement - Accreditation Team

Hi, we're Oscar. We're hiring a Quality Improvement Associate to join our Accreditation 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 manage the day-to-day operations of a portfolio of projects, and providing support for ongoing projects within Oscar's Quality Improvement Department. You will ensure program activities are completed in a high quality and timely manner, and you will ensure compliance with all regulatory guidelines such as Medicaid (Medi-Cal), Medicare, CMS, and National Committee for Quality Assurance (NCQA) Accreditation.

You will report to the Quality Improvement Operations Manager.

Work Location: This position is based in our NYC 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, while your other two office days are flexible to suit your schedule. #LI-Hybrid

Pay Transparency: The base pay for this role is: $96,876 - $127,149 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.

Responsibilities:

• Key focus areas: NCQA Accreditation, Quality Improvement Program, Population Health Program
• Organize and support daily activities based on the goals of the program
• Identify optimization opportunities and lead process improvement initiatives that align with regulatory expectations and operational goals
• Lead specific components of the program, including timelines, documentation, committee operations, and internal project governance
• Support end-to-end implementations, including stakeholder coordination, progress tracking, risk management, and milestone reporting
• Serve as a liaison between stakeholders and internal teams to promote execution and regulatory alignment
• Assist in the development of meeting content such as agendas, presentations, policy updates, and program documentation to support internal governance
• Support quarterly program and compliance reporting, including data synthesis and presentation for executive and regulatory audiences
• Partner with other departments and stakeholders to ensure operational excellence, including compliance with NCQA, CMS, and other state/federal regulations
• Develop tools, standards, and meeting structures to support team performance and audit readiness
• Track and monitor project controls, risks, and key performance indicators to support compliance and efficiency
• Facilitate project retrospectives to assess operational strengths and gaps, and apply insights to future implementations
• Act as a key contributor in maintaining accreditation and quality improvement documentation standards
• Support training and documentation related to internal policies and regulatory expectations
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• Knowledge of NCQA Accreditation standards & guidelines
• 3+ years of strong project management or operational experience in the health insurance space
• 3+ years experience in change management and process improvement
• 3+ years stakeholder management experience
• Experience with data systems (such as Periscope, Looker)

Bonus points:

• PMP or Six Sigma Certified