Specialist, Provider Data Operations

Hi, we're Oscar. We're hiring a Specialist, Provider Data Operations to join our Provider Operations 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:

You will work to solve complex issues or concerns impacting our providers and the members they serve. You will act as a subject matter expert for Provider Services. You will be the liaison between teams across Oscar. They track and trend provider issues and partner with stakeholders to resolve escalated issues. You will support Provider teams with content knowledge, documentation, and training of the role.

You will report into the Provider Operations Lead.

Work Location: This is a remote position, open to candidates who reside in: Florida. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency: The set pay rate for this role is $24.00 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.

Responsibilities:

• Support, manage, or escalate complex issues that are not solved using conventional workflows.

• Effectively manage internal or external escalated transactions and communicate with appropriate parties for effective resolution in adherence to SLAs

• Act as a point person for stakeholders in other areas of the business to improve feedback loops and trend member/provider issues

• Support production representatives as needed through a variety of communication venues

• Manage queue work and and assigned caseload through efficient dashboard management

• Collaborate daily with production and BPO leaders on systemic issues and communicate blockers to care and satisfaction

• Assist in developing and maintaining standards for quality assurance, leading corrective activities and manage communication processes with other departments regarding improvements.

• Create and facilitate training with guidance from Team Leads, as needed

• Compliance with all applicable laws and regulations

• Other duties as assigned

Requirements:

• 2+ years of work experience in healthcare working with provider data management

• 2+ years of intermediate Excel/Google Sheet proficiency

• 1+ years of assessing and comprehending end to end process impact

• 2+ years strong quantitative or analytical skills focused on proactively identifying or solving problems

• 2+ years previous work experience in a fast-paced production-based environment

Bonus points:

• Bachelor's Degree

• Lean Six Sigma or similar operations certifications

• 1 year of entry level proficiency in SQL, BigQuery or similar database language experience

• Prior work experience in tech and/or healthcare

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.

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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 ([email protected]) to make the need for an accommodation known.

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