Member & Provider Care Specialist
About The Position
Oscar is hiring a Care Specialist to join their Member & Provider Escalations team. Oscar is a health insurance company built on a technology platform and focused on serving its members. The Care Specialist will solve complex issues impacting providers and the members they serve, acting as a subject matter expert for Member and Provider Services. This role will serve as a liaison between production teams and optimization/strategy teams, assist with internal questions and training support, and communicate with members and providers. The specialist will contribute to tracking and reporting network issues, be a key contributor to the knowledge management system, ensure workflows are complete and up-to-date, and manage a queue of assigned cases. This is a remote role and requires residency in Arizona, Florida, Georgia, or Texas.
Requirements
- 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
Nice To Haves
- 1 + years of claims experience
- Bilingual Spanish
Responsibilities
- Handle inbound and outbound calls, secure messages and/or email communications with members or providers
- Manage queue work and 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
Benefits
- medical
- dental
- vision benefits
- 11 paid holidays
- paid sick time
- paid parental leave
- 401(k) plan participation
- life and disability insurance
- paid wellness time and reimbursements
- monthly vacation accrual at a rate of 15 days per year
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
