Remote Health Member Services Specialist

name; Arizona; On-site; USD 26,000 - 29,000; Full time

Job summary

Oscar is hiring a Customer Service Representative to join our Member and Provider Services team. This remote position, available to Arizona residents, focuses on high-volume member interactions and back-office tasks within a health insurance platform.

You will report to the Concierge Operations Manager and work from a home office with occasional travel for meetings and events. The role offers a pay range of $19.00–$21.00 per hour plus benefits and vacation accrual.

Qualifications

• 1+ years of experience in a high-volume or customer-focused setting.
• 6+ Months of healthcare experience
• High school diploma or GED

Responsibilities

• Develop a comprehensive understanding of the current processes, procedures, and tools associated with the Oscar business model.
• Work with members, brokers, providers, and Oscar vendors through multiple channels according to assignment needs
• Manage an assigned caseload, maintaining service delivery, productivity, and quality expectations
• Form working relationships with all partners.
• Support the leadership team by identifying issues through established escalation pathways
• Monitor and track the health of all assigned work-in-progress issues.
• Escalate and resolve issues to ensure appropriate turnaround times
• Participate in process improvement projects
• Comply with all operational, regulatory, and compliance standards relating to member Personal Health Information (PHI)
• Compliance with all applicable laws and regulations
• Other duties as assigned

Skills

Customer service

Healthcare experience

Bilingual Spanish/English

Data entry

Google Suite / MS Office

Education

High school diploma or GED

Tools

Google Suite

Microsoft Office

Job description

Oscar is hiring a Customer Service Representative to join our Member and Provider Services team. This remote position, available to Arizona residents, focuses on high-volume member interactions and back-office tasks within a health insurance platform.

You will report to the Concierge Operations Manager and work from a home office with occasional travel for meetings and events. The role offers a pay range of $19.00–$21.00 per hour plus benefits and vacation accrual.