Remote Member & Provider Care Specialist

Oscar Health; Athens (GA); Remote; USD 25,000 - 36,000; Full time

Benefits offered by this job

Benefits package

15 days vacation

Job summary

Oscar Health is hiring a Care Specialist to join the Member & Provider Escalations team. You will resolve complex provider and member issues and serve as a subject matter expert for Member and Provider Services. You will liaise with production, optimization, and training teams and help maintain knowledge management systems.

This is a remote role with a pay rate of $22.00 per hour and benefits, including 15 days of vacation per year. You will report to the Member Escalations Operations Manager.

Qualifications

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

Responsibilities

• Handle inbound and outbound calls, secure messages and/or email communications with members or providers.
• Manage queue work and assigned caseload through efficient dashboard management.
• Identify, investigate, and resolve issues within determined SLAs.
• Collaborate with colleagues, Experts, and Leads to identify trends and roadblocks.
• Utilize internal tools and resources seamlessly.
• Effectively communicates findings and resolutions with providers and internal departments.
• Support Member and Provider Services Representatives with complex issues, workflows, and training.
• Escalate updates or incorrect information in the internal knowledge management system for Member and Provider Services.
• Partner with production teams across the LifeCycles to improve the member and provider experience.
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

Skills

Customer support

Healthcare experience

Tech experience

Communication skills

Job description

Oscar Health is hiring a Care Specialist to join the Member & Provider Escalations team. You will resolve complex provider and member issues and serve as a subject matter expert for Member and Provider Services. You will liaise with production, optimization, and training teams and help maintain knowledge management systems.

This is a remote role with a pay rate of $22.00 per hour and benefits, including 15 days of vacation per year. You will report to the Member Escalations Operations Manager.