Remote Provider Licensure & Compliance Specialist

name; Arizona; On-site; USD 28,000 - 41,000; Full time

Job summary

Oscar is a health insurer leveraging a full-stack technology platform and is hiring a Provider Operations Specialist to own licensure and cross-licensing for Oscar Medical Group providers. You will ensure compliance, maintain real-time tracking, and work with internal and external teams to align with state and federal regulations.

This fully remote role reports to the Associate Manager of OMG Provider Operations and supports provider operations across service lines from a home office, with

Qualifications

• 2+ years of MS Excel or Sheets experience with formulas, pivot tables, and data validation.
• 2+ years in workforce management, planning, scheduling, or operations.
• 1+ years of experience in a customer-facing role (even if the customer is internal).

Responsibilities

• Own end-to-end licensure, cross-licensing, and primary source verification for all Oscar Medical Group (OMG) providers across all service lines, ensuring internal tracking systems stay fully compliant with state and federal regulations.
• Oversee credential verification processes across state licensing boards to maintain high standards of data accuracy, regulatory compliance, and safety.
• Proactively audit, track, and process initial and renewal license requests to eliminate coverage gaps, while managing reinstatements for any lapsed credentials.
• Be the primary escalation point for complex licensing and supervision issues, delivering real-time guidance to Virtual Care Operations and leadership.
• Oversee physician supervision assignments for newly hired and newly licensed APPs to maintain full compliance with state regulatory standards.
• Research state board requirements to build compliant workflows for APP/physician collaborations, managing reassignments to align with operational and patient care needs.
• Exercise sound judgment within standard operating procedures to resolve moderate-scope operational issues, analyzing key data for senior review and building stakeholder relationships aligned with corporate values.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Skills

MS Excel

Workforce Management

Customer-facing

Job description

Oscar is a health insurer leveraging a full-stack technology platform and is hiring a Provider Operations Specialist to own licensure and cross-licensing for Oscar Medical Group providers. You will ensure compliance, maintain real-time tracking, and work with internal and external teams to align with state and federal regulations.

This fully remote role reports to the Associate Manager of OMG Provider Operations and supports provider operations across service lines from a home office, with