Hi, we're Oscar Medical Group. We’re hiring a Clinical Quality Analyst to join our Oscar Medical Group team. 

At Oscar Medical Group, we are refactoring healthcare. We want to help each of our members achieve their healthcare goals in a personalized way. To help us achieve that goal we are looking for innovative leaders who think big and push boundaries to refactor healthcare and the healthcare delivery system.

About the role:

You will support the clinical care team in providing high quality, safe patient care in our virtual clinic.  You are responsible for collecting, analyzing, and interpreting data related to patient safety, quality of care, and regulatory compliance.  You will conduct patient safety incident reviews.  You will work with clinical leadership, operations, and compliance teams to identify and address potential risk, implement quality improvement initiatives and ensure compliance with all applicable regulations and standards.

You will report into the Senior Medical Director, Oscar Primary Care.

Work Location:

Oscar Medical Group is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

This is a remote / work-from-home role. You must reside in one of the following states: Arizona, California, Colorado, Florida, Georgia, Illinois, Massachusetts, Michigan, Nevada, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Texas, or Virginia. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role is: $72,800 - $95,550 per year. You are also eligible for employee benefits, and annual vacation grant of up to 18 days per year and annual performance bonuses.

Responsibilities:

Data collection and analysisAnalyze and report out trends related to quality initiatives, HEDIS metrics, NPS/patient complaints, and safety issues to OscarCare, OMG leadership, and CompliancePatient Safety incident review and mitigation action plansPerform incident reviews in timely manner with closed loop feedbackDevelop mitigation action plans in collaboration with clinical leadership for future risk reduction and process improvementTrend and track reported events, themes, and preparation of summary reports for Safety and Compliance Committee meetings and stakeholdersRisk Management & Regulatory ComplianceDemonstrate expert knowledge in all internal policies as well as general knowledge of healthcare regulationProvide feedback for improvements in internal policies and standard operating procedures to support Compliance and Risk ManagementQuality assurance and process improvementConduct structured, targeted chart audits related to quality and HEDIS metrics Synthesize and share findings of chart audits with cross functional clinical leaders and teams working on quality / performance improvementCollaborate with operations and product teams in investigation and mitigations of systems issues and internal product/EMR patternsConduct investigations into formal patient complaints, PQIs, and NPS feedbackEducation and trainingMaintain and develop patient safety and quality training materials for OMGCompliance with all applicable laws and regulations Other duties as assigned

Requirements:

Minimum of Bachelor of Science in Nursing (BSN), but may hold a Master’s degree in Nursing (MSN)3+ years of experience in patient safety, quality improvement, or risk management5+ years of experience as registered nurse in ambulatory or hospital setting

Bonus points:

1+ years proficiency in google suites applications and presentations to leadershipExperience as registered in nurse in telehealth settingPatient Safety certification including but not limited to one of the following: CPPS, CSHM, CSP, CSSQuality certification including but not limited to one of the following: CPHQExperience with Symplr platform or other patient safety tracking toolsExperience with NCQA, HEDIS, STARS, CAHPs metrics including monitoring and reporting

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.

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 Notice to Job Applicants.