Remote Member & Provider Escalations Specialist

Oscar Health; United States; Remote; USD 28,000 - 33,000; Full time

Benefits offered by this job

Benefits

15 days vacation per year

Job summary

Oscar Health is hiring a Care Specialist to join the Member & Provider Escalations team in a remote capacity. You will resolve complex issues for providers and members, acting as a subject matter expert and liaison across teams, with a focus on knowledge management and queue management.

You will report to the Member Escalations Operations Manager. Remote role with residency in AZ, FL, GA, or TX; pay $22/hour plus benefits and 15 days vacation per year.

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 knowledge

Tech savvy

Job description

Oscar Health is hiring a Care Specialist to join the Member & Provider Escalations team in a remote capacity. You will resolve complex issues for providers and members, acting as a subject matter expert and liaison across teams, with a focus on knowledge management and queue management.

You will report to the Member Escalations Operations Manager. Remote role with residency in AZ, FL, GA, or TX; pay $22/hour plus benefits and 15 days vacation per year.