Remote Contract Data Specialist - Health Insurance

Oscar Health; Florida; A distancia; USD 22.000 - 31.000; Jornada completa

Descripción de la vacante

Oscar Health is hiring a Contract Load Representative to validate, configure, and maintain executed provider contracts and amendments. You will own end-to-end contract configuration in internal systems, work with cross-functional teams, and ensure data accuracy and operational efficiency from a remote home office.

The role reports to the Associate Manager, Provider Data Operations and requires collaboration across networks, credentialing, and rate configuration.

Formación

• 1+ years of experience in a fast-paced healthcare environment.
• Advanced Google Suite or Microsoft Office capabilities.
• Experience manipulating and entering accurate data in a production driven environment.

Responsabilidades

• Review and configure executed provider contracts, amendments, W-9s, rosters, and supporting documentation for completeness, accuracy, and readiness for configuration.
• Coordinate with Network Contracting, Credentialing, Roster Operations, Rate Configuration, and leadership to resolve missing information, clarify contract intent, and manage downstream dependencies.
• Escalate incomplete documentation, contract discrepancies, duplicate records, complex interpretation questions, and system issues.
• Develop a comprehensive understanding of the current processes, procedures, and tools associated with the Oscar business model.
• Interact daily with Internal departments through multiple channels according to assignment needs
• Manage an assigned caseload while maintaining service delivery, productivity, and quality expectations
• Form working relationships with internal stakeholders.
• Support the leadership team by identifying issues through established escalation pathways
• Be accountable for monitoring and tracking the health of all assigned work-in-progress issues.
• Escalate and resolve issues to ensure appropriate turnaround times
• Be an active participant in process improvement initiatives
• Comply with all operational, regulatory, and compliance standards relating to member PHI
• Compliance with all applicable laws and regulations
• Other duties as assigned

Conocimientos

Data entry

Google Workspace / MS Office

Educación

High school diploma or GED

Descripción del empleo

Oscar Health is hiring a Contract Load Representative to validate, configure, and maintain executed provider contracts and amendments. You will own end-to-end contract configuration in internal systems, work with cross-functional teams, and ensure data accuracy and operational efficiency from a remote home office.

The role reports to the Associate Manager, Provider Data Operations and requires collaboration across networks, credentialing, and rate configuration.