Member & Provider Care Specialist

Oscar Health

Clifton (TX)

Remote

USD 25,000 - 36,000

Full time

8 days ago

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Benefits offered by this job

Medical benefits
Dental benefits
Vision benefits
11 paid holidays
Paid sick time
Paid parental leave
401(k) plan participation
Life and disability insurance
Wellness time and reimbursements

Job summary

Oscar Health is hiring a Care Specialist to join the Member & Provider Escalations team in a remote capacity. You will solve complex issues affecting providers and members, assist with internal questions and training, and help track network issues. The role reports to the Member Escalations Operations Manager.

We offer full-time benefits and support for a diverse workforce while focusing on delivering quality member experiences. Prior escalations and healthcare exposure are valued.

Qualifications

  • 1+ years in customer support, healthcare, tech or related field.
  • ~6+ months of member and customer service experience.
  • ~1+ year of escalations experience in a customer service environment.

Responsibilities

  • Support with complex issues, workflows, and training.
  • Assist with internal questions and training support.
  • Contribute to tracking and reporting of network issues.

Skills

Customer support
Healthcare
Escalations experience
Training support

Job description

We're hiring a Care Specialist to join our Member & Provider Escalations team. Oscar is the first health insurance company built around a full stack technology platform and a 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.

You will solve complex issues or concerns impacting our providers and the members they serve. You will assist with internal questions and training support and communicate with our Members and Providers. You will contribute to the tracking and reporting of network issues and are a key contributor to our knowledge management system. You will report into Member Escalations Operations Manager.

Work Location:

This is a remote role.LI-Remote

The set rate for this role is $22.00 per hour.

Support Member and Provider Services Representatives with complex issues, workflows, and training

  • 1+ years in customer support, healthcare, tech and/or related field
  • ~ 6 + months of member and customer service experience
  • ~1+ year of escalations experience in a customer service environment
Bonus Points
  • ~1 + years of claims experience
  • ~ Bilingual Spanish

This is an authentic Oscar Health job opportunity.

We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Full-time employees are eligible for benefits including:

  • medical
  • dental
  • vision benefits
  • 11 paid holidays
  • paid sick time
  • paid parental leave
  • 401(k) plan participation
  • life and disability insurance
  • paid wellness time and reimbursements

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

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 ( 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 Privacy Policy.

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