Bilingual Member Services Specialist — Remote (Spanish/English)

Oscar; United States; Remote; USD 26,174 - 27,552; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

11 holidays

Paid sick time

Parental leave

401(k)

Life insurance

Disability insurance

Wellness time

Reimbursements

Vacation accrual

Job summary

Oscar is seeking a Bilingual Customer Service Representative for Member and Provider Services. This remote role is open to residents of Georgia, with daily work from a home office and occasional travel for team meetings and events.

You will assist members, brokers, providers, and Oscar vendors, manage an assigned caseload to meet service, productivity, and quality targets, and support leadership through issue escalation and process improvements while ensuring PHI and regulatory compliance.

Qualifications

• Bilingual Spanish/English with professional proficiency reading, writing, and speaking.
• 1+ years of experience in a high-volume or customer-focused setting.
• 6+ months of healthcare experience.
• High school diploma or GED.

Responsibilities

• Understand Oscar processes, procedures, and tools.
• Interact with members, brokers, providers, and Oscar vendors.
• Manage an assigned caseload with quality and productivity.
• Develop relationships with partners.
• Escalate issues to leadership as needed.
• Monitor and track work-in-progress health.
• Participate in process improvement projects.
• Ensure PHI and regulatory compliance.
• Perform other duties as assigned.

Skills

Bilingual Spanish-English

Customer service

Healthcare experience

PHI compliance

Communication

Education

High school diploma or GED

Tools

Google Suite

Microsoft Office

Job description

Oscar is seeking a Bilingual Customer Service Representative for Member and Provider Services. This remote role is open to residents of Georgia, with daily work from a home office and occasional travel for team meetings and events.

You will assist members, brokers, providers, and Oscar vendors, manage an assigned caseload to meet service, productivity, and quality targets, and support leadership through issue escalation and process improvements while ensuring PHI and regulatory compliance.