Program Lead, Payor Connections/Interoperability

The job

LIVE Live feed (private-sector employer) Source: The Muse public API · Data: listed 2026-09-17

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 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

• 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

• Risk Adjustment experience
• Basic SQL or BQ query writing experience

Explore around this job

Field: Operations and Management Sub-niche: Program management All jobs at Oscar Health

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About the role

This is a Mid Level role in the Operations and Management field (Program management) at Oscar Health. Mid-level roles usually expect some years of relevant experience and the ability to work with limited supervision.

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The employer

Oscar Health is the employer in this listing. See all its open jobs here →

Company description (from The Muse): Oscar is a technology-focused health insurance company.

size: Large Size; industries: Healthcare, Insurance, Technology; locations on The Muse: Flexible / Remote, Los Angeles, CA, New York, NY, Tempe, AZ.

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Same sub-niche: Program management

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FAQ

What is the Program Lead, Payor Connections/Interoperability job at Oscar Health?

A mid level role in operations and management (program management) listed 52 days ago. The full description is on this page and on The Muse.

Where is this job?

Remote / flexible (United States). A remote or flexible location is listed; confirm with the employer which states are accepted.

How do I apply?

Use the "View this job and apply on The Muse" button. AtiveSite does not receive applications.

How much does it pay?

The listing does not publish pay, and we could not match the title to one official occupation.

What is the cost of living there?

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How old is this listing?

It was posted on 2026-09-17 (52 days ago). Jobs older than 90 days are not shown.

Are there similar jobs?

Yes: browse program management jobs in the United States.

Sources and terms

• Job data: The Muse public API (listing dated 2026-09-17). The job disappears from this site when it disappears from the source.
• Wages and projections: BLS OEWS (May 2025) and Employment Projections 2025–35.
• City and county figures: Census Bureau ACS 2020–2024, BEA, BLS QCEW and LAUS, NASA POWER climatology; distances from Census Gazetteer coordinates.

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Sources

• BLS OEWS (wages and employment by occupation, May 2025)
• BLS Employment Projections 2025–35
• BLS Local Area Unemployment Statistics
• BLS JOLTS
• BLS State and Metro Area Employment
• Census Bureau American Community Survey (via Census Reporter)
• BEA GDP by state and Regional Price Parities
• IRS 2026 tax adjustments
• U.S. Department of Labor, minimum wage by state
• Tax Foundation state income tax rates 2026
• USAJOBS
• USCIS
• U.S. Department of State, visas
• NASA POWER climatology
• GeoNames / Census Gazetteer (coordinates)