Senior Specialist, Process improvement (SIU)
Oscar · United States · US
Quality Improvement
Remote
physician
Dentist
Demand72
Career growth68
Healthcare fit74
Remote potential95
Salary band
USD 68k – 99k
5-year outlook
Posted base pay is roughly $68k-$99k depending on location, plus benefits and bonus. Longer-term growth likely depends on developing payer operations, process improvement, and SIU/compliance leadership experience.
Clinical license
Not required
Applicant reach
moderate
Seniority
senior
Employment type
full-time
Date found
2026-10-24
Intelligence details
Flexible work details
- Engagement type
- Permanent
- Hours
- Full-time
- Eligible countries
- United States
- Profession fit
- physician, Dentist
- Rate period
- Annual
Listing via Himalayas.
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Worth considering for clinicians with quality, operations, claims, compliance, or utilization review exposure who want payer-side process improvement. Less suitable for clinicians seeking direct patient care or a purely clinical career path.
Who should apply
Nurses, pharmacists, physicians, or healthcare graduates with experience in quality improvement, utilization review, compliance, claims operations, audit, or healthcare operations who are interested in insurance payer workflows and SIU process improvement.
CV angle
Reframe real clinical experience around workflow optimization, root-cause analysis, documentation/audit rigor, stakeholder communication, quality improvement, and data-informed problem solving. Highlight any claims, compliance, utilization review, or operations exposure without claiming SIU or payer experience you do not have.
Skills to highlight
- process improvement
- root cause analysis
- claims operations
- data analysis
- business requirements
- stakeholder management
- project management
- compliance
Role summary
A remote payer-side process improvement role supporting Oscar's Special Investigations Unit by triaging issues, analyzing claims and workflow problems, translating stakeholder friction into business requirements, and coordinating cross-functional fixes.
We publish our own intelligence summary, never the full job description. Always confirm details with the employer when you apply.