Remote Associate Manager, Credentialing Ops

Oscar Health, Inc.; United States; Remote; USD 65,000 - 80,000; Full time

Benefits offered by this job

Unlimited vacation

Annual performance bonus

Medical, dental and vision benefits

Job summary

Oscar Health, Inc. is seeking an Associate Manager, Credentialing Operations to lead a team ensuring accurate credentialing and re-credentialing for providers, while maintaining regulatory and internal standards.

The role emphasizes performance data, cross-functional collaboration, and risk mitigation. Reporting to the Senior Manager, Provider Operations Credentialing, you will drive workflow improvements and network readiness across a remote US team, with occasional travel for team meetings and

Qualifications

• 3+ years of direct people management experience.
• 2+ years of experience in provider credentialing, re-credentialing, provider enrollment, or a closely related function.
• 3+ years of healthcare operations experience supporting high-volume production teams.
• 1+ year experience using data to drive decision making and continuous improvement.

Responsibilities

• Evaluates overall departmental performance by creating, gathering, analyzing and interpreting data and metrics as well as assisting in development of departmental metrics and implementation of mitigation strategies.
• Lead the day-to-day credentialing operation, including workload planning, queue management, service-level performance, quality, and issue resolution.
• Collaboratively works with all relevant internal and external stakeholder groups to formulate proactive implementation, communications, and program strategies for successful change management and risk mitigation initiatives.
• Conduct root-cause analysis on systemic issues and construct action plans to address.
• Maintains, analyzes, and communicates reporting on assigned team KPIs. Track monthly and quarterly to meet departmental objectives.
• Hire and manage a team of Oscar colleagues with direct responsibility for performance management, their growth and development, and associated HR administrative tasks.
• Compliance with all applicable laws and regulations.
• Other duties as assigned

Skills

People management

Credentialing

Healthcare operations

Data-driven decisions

Education

Bachelor’s Degree

Tools

Excel/Google Sheets

JIRA

SQL

Job description

Oscar Health, Inc. is seeking an Associate Manager, Credentialing Operations to lead a team ensuring accurate credentialing and re-credentialing for providers, while maintaining regulatory and internal standards.

The role emphasizes performance data, cross-functional collaboration, and risk mitigation. Reporting to the Senior Manager, Provider Operations Credentialing, you will drive workflow improvements and network readiness across a remote US team, with occasional travel for team meetings and