Program Lead, Payor Connections/Interoperability
Oscar Health
Make my CV for this job, freeView job and applyYour CV, rewritten for this role using only your real experience. Sign in with Google and upload your CV. Nothing to install.
Skills named in this job
Read from the description itself, not inferred.
This role on the market
10 open interoperability roles across 7 companies are on ApplySarthi right now, most of them in Bengaluru (1).
- Senior NIRIS Level 3 Support & Interoperability EngineerSpektrum
- Associate Vice President, Interoperability EngineeringHumana
- Solution Architect IHE & Interoperability (w/m/d)Cgm
- Product Manager, Interoperabilityproject44 · bengaluru
- Solution Architect — Interoperability (IBE / Rhapsody)Philips
What interoperability roles keep asking for: Python (30%), SQL (30%), Supply chain (30%), Docker (20%), Generative AI (20%), Java (20%), JavaScript (20%), Kubernetes (20%) — counted across their open postings here.
Oscar Health has 281 open roles listed here.
- Bilingual Medical Assistant (Part-Time)
- Manager, Risk Adjustment, Provider Partnerships
- Senior Clinical Quality Nurse
- Senior Analyst, Data Analytics, SIU
- Senior Analyst, Data Analytics, SIU
Counted across 14 company job boards, updated as roles open and close.
Preparing for this interview
Interviews for interoperability roles keep coming back to Python, SQL, Supply chain, Docker. Practise those questions before you sit with Oscar Health.
Questions you are likely to be asked
- Why do you want to join Oscar Health?
- What is your experience with SQL? Tell me one thing you learned the hard way.
- What is a weakness you are working on, and how?
- Tell me about yourself, and why this role is the right next step.
- Tell me about a problem you solved at work that you are proud of.
Prep Sarthi gives you a free mock interview: an AI interviewer asks you questions like these out loud, from your own CV and this job, and shows your score and your weakest answer.
Practise the Program Lead, Payor Connections/Interoperability at Oscar Health interview free →Hi, we're Oscar. We're hiring a Program Lead, Payor Connections/Interoperability to join our Risk Adjustment 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:
As a Program Lead, Payor Connections/Interoperability, you will be a key owner of an important interoperability initiative, the Program Lead will represent the needs and interests of the Risk Adjustment team. This new role is for you if you thrive with ambiguity and autonomy, and are comfortable building an end-to-end process! You will work with internal and external Oscar partners to ensure accurate acquisition of healthcare data from multiple provider systems.
You will report into the Director, Risk Adjustment Retrospective.
Work Location: This is a remote position, open to candidates who reside in: Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Missouri, Nebraska, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas and Virginia. 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 in the states of New Jersey and New York is: $101,844 - $133,670 per year. The base pay for this role in all other locations is: $91,659 - $120,303 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:
- Lead interoperability projects with provider outreach
- Develop relationships with provider group partners and vendors
- Create and maintain project plans
- Help develop operational strategy and market approach
- Collaborate across the organization to identify actions to achieve improvements and monitor initiative impact
- Direct the testing and validation of data connections to ensure compliance and functionality
- Oversee the creation and maintenance of essential operational dashboards, and update and enhance them as our user's needs evolve
- Track development progress, resolve issues related to data quality or integration, and ensure continuous improvement in interoperability programs
- TEFCA subject matter expert
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements:
- 3+ years of work experience in health care operations or health insurance; working directly with provider groups
- 2+ years of experience in delivering interoperability projects / programs
- In depth knowledge of TEFCA
- Strong analytical skills
Bonus points:
- Risk Adjustment experience
- Basic SQL or BQ query writing experience
This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.
At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. 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.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.
California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy.
Match this job to your CV
ApplySarthi scores your CV against this role, shows the skills you are missing, and writes a tailored version for the application.
Check my match →Similar open roles
- 1099 Nurse Practitioner or Physician Assistant - Virtual Urgent Care (Bilingual - Spanish)Oscar Health
- Associate, ActuarialOscar Health
- Associate, Health System ContractingOscar Health
- Associate, Network Contracting (Central Region)Oscar Health
- Associate, Network Contracting (Northeast Region)Oscar Health
- Associate, Payment Integrity IBROscar Health
- Associate, Value Based ContractingOscar Health
- Director, Insurance Product Filing & Lifecycle ManagementOscar Health
Need answers during your interview? Try Live Sarthi.
Live Sarthi, an Interview Sarthi app, shows answer suggestions during the call.
- Hidden from supported screen sharingThe overlay stays out of supported Windows screen captures.
- Answers start in about 1.5 secondsResponse time varies with your connection and model.
- From your own CVYour projects and your experience, not a generic script.
- 30 minutes freeThen ₹99 for a 2-day pass with unlimited calls — you pay for the days you are interviewing, not a subscription.
A Windows app, from the same team as ApplySarthi.
Listed on greenhouse · posted 2026-06-18. ApplySarthi collects openings and links to application pages; the role is advertised by Oscar Health, not by us.