Associate Director, Claims Documentation & Learning

Responsibilities

• Assist in the creation of a holistic claims training and documentation strategy.
• Deliver claims training strategy including material creation, feedback, and adjustments to improve retention.
• Develop and maintain detailed process documentation, including SOPs, work instructions, and guidelines for healthcare claims processing.
• Implement continuous improvement processes for all claims documentation, training, and curriculum updates.
• Work with internal stakeholders to ensure consistency and accuracy of training materials.
• Create systems to measure the effectiveness of training programs in enhancing employee performance.
• Build, coach, and lead a team focused on high-quality service and employee satisfaction.
• Translate technical or complex information into clear, user-friendly documentation.

Requirements

• 7+ years of experience in claims operations, learning and development, knowledge management, or technical writing.
• 5+ years of people management and team leadership experience.
• 6+ years of experience working collaboratively with cross-functional leadership teams.
• 3+ years of experience with benefit and contract interpretation or professional/institutional billing coding.
• 3+ years of experience analyzing and improving processes and workflows.

Preferred Qualifications

• Experience in healthcare or a highly regulated industry.
• Operational improvement certification (Green Belt or advanced).
• Bachelor’s or Master’s degree in a related field.
• BSN or clinical experience.

Benefits

• Competitive base salary ($149,040 - $195,615).
• Medical, dental, and vision benefits.
• Unlimited vacation program and annual performance bonuses.
• 401(k) plan participation.
• Life and disability insurance.
• Paid wellness time and reimbursements.

About the Company

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.