FreshRemote.Work

Care Specialist

Remote

Hi, we're Oscar. We're hiring a Care Specialist to join our Provider Escalations team.

Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role

You will be responsible for solving complex issues while supporting colleagues with support and appropriate escalation pathways.

You will report into Member Escalations Operations Manager.

Work Location:

This is a remote role. You must reside in one of the following states: Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Mexico, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The set rate for this role is $22.00 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.

Responsibilities

  • Use internal tech tools, shadow round tables, and identify themes and gaps as they relate to efficiency and workflow improvement
  • Support colleagues’ post-initial training and onboarding by working cross-functionally to solve complex customer or operational issues 
  • Intake and triage internal questions or escalated situations
  • Effectively manage volume-based transactions in adherence to SLAs
  • Compliance with all applicable laws and regulations 
  • Other duties as assigned

Qualifications

  • 1+ years in customer support/healthcare/tech or related field
  • 1 + years of claims experience
  • 6 + months previous work experience in a fast-paced environment
  • 6 + months strong quantitative or analytical skills focused on proactively identifying or solving problems
  • 6 + months of provider experience 
  • High school diploma or GED

Bonus Points

  • Bachelor's degree

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency:  Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Notice to Job Applicants.

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Job Profile

Restrictions

Arizona California Colorado Florida Georgia Illinois Iowa Kentucky Maine Maryland Massachusetts Michigan Minnesota Missouri Must reside in one of the following states Must reside in specific states Nevada New Hampshire New Mexico North Carolina Ohio Oregon Pennsylvania Remote role Rhode Island South Carolina Tennessee Texas Utah Vermont Virginia Washington

Benefits/Perks

11 paid holidays 401(k) participation 401k plan participation Dental Dental benefits Disability Insurance Employee benefits Life and Disability insurance Life Insurance Medical Medical benefits Medical, dental, and vision benefits Monthly vacation accrual Paid holidays Paid parental leave Paid sick time Paid wellness time Paid wellness time and reimbursements Vision Vision Benefits

Tasks
  • Compliance
  • Compliance with all applicable laws and regulations
  • Compliance with laws
  • Manage transactions
  • Other duties as assigned
  • Solve complex issues
  • Support colleagues
  • Training
Skills

Analytical C Claims Claims experience Compliance Customer Support Education Efficiency Escalations Healthcare Health Insurance Internal tech tools Operations Provider experience Quantitative Tech Technology Technology Platform Training Triage Workflow improvement

Experience

1 years

Education

Bachelor's Bachelor's degree Diploma GED Healthcare High school diploma Related Field Technology