Program Lead, Payor Connections/Interoperability

New York, New York, United StatesPosted 7 days ago

Role Overview

Oscar is hiring a Program Lead, Payor Connections/Interoperability. This is a full-time hybrid role, based in New York, New York. posted last week. Full responsibilities, required qualifications, and the apply link are listed in the description below.

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Job description

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 position is based in our New York City 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: $101,844 - $133,670 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.

About Oscar

Oscar

hioscar.com

Hybrid

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Frequently Asked Questions

How do I apply for the Program Lead, Payor Connections/Interoperability position at Oscar?

Use the Apply button above to submit your application directly to Oscar. Most applications take less than 5 minutes if your resume and contact details are ready, and you'll be routed to the employer's official application system to finish.

Is the Program Lead, Payor Connections/Interoperability role at Oscar remote or in-office?

This is a hybrid role based in New York, New York. Expect a mix of in-office and remote days, with the specific cadence set by the hiring manager.

What does a Program Lead, Payor Connections/Interoperability at Oscar earn?

Oscar has not disclosed a salary range in this posting. Many employers share specifics later in the interview process; you can also ask during a recruiter screen if compensation transparency is important to you.

When was the Program Lead, Payor Connections/Interoperability role at Oscar posted?

This role was posted on July 8, 2026 (7 days ago). It's still listed as actively hiring; we re-confirm openings against the source system multiple times per day and remove closed roles.

Is the Program Lead, Payor Connections/Interoperability role at Oscar entry-level?

Yes. This is an entry-level position. Strong candidates typically have 0-2 years of relevant work experience, internships, or significant project work. Read the full description for any specific qualification requirements Oscar has listed.