Remote Member & Provider Escalations Specialist

Oscar Health; Yuma (AZ); Remote; USD 25,000 - 36,000; Full time

Benefits offered by this job

Medical, dental, vision benefits

11 paid holidays

Paid sick time

Parental leave

401(k) plan participation

Life and disability insurance

Wellness time & reimbursements

Job summary

Oscar Health is hiring a Care Specialist to join the Member & Provider Escalations team. This remote role requires you to reside in Arizona, Florida, Georgia, or Texas and to help providers and members resolve issues.

You will manage cases, use internal tools, report trends, and contribute to knowledge management. The role reports to the Member Escalations Operations Manager and includes benefits eligibility.

The pay is $22 per hour with standard benefits and 15 days vacation accrual per year.

Qualifications

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

Responsibilities

• Handle inbound/outbound calls, secure messages, and emails with members or providers.
• Manage queue work and assigned caseload through dashboards.
• Identify, investigate, and resolve issues within SLAs.
• Collaborate with colleagues to identify trends and roadblocks.
• Utilize internal tools and resources effectively.
• Communicate findings and resolutions with providers and internal teams.
• Support representatives with complex issues, workflows, and training.
• Escalate updates or incorrect information in the knowledge base.

Skills

Customer support

Escalations

Communication

Healthcare domain

Job description

Oscar Health is hiring a Care Specialist to join the Member & Provider Escalations team. This remote role requires you to reside in Arizona, Florida, Georgia, or Texas and to help providers and members resolve issues.

You will manage cases, use internal tools, report trends, and contribute to knowledge management. The role reports to the Member Escalations Operations Manager and includes benefits eligibility.

The pay is $22 per hour with standard benefits and 15 days vacation accrual per year.