Associate, Credentialing Operations

Associate, Credentialing Operations

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 ourselvesone that behaves like a doctor in the family.

About the Role

The Associate, Credentialing Operations is responsible for supporting and enhancing the quality of the credentialing functions as well as analyzing, organizing, and managing operational data to optimize business processes and drive efficiency. The Associate works closely with various departments to identify opportunities for improvement and develop strategies to improve data quality, compliance, and support daily operations. The Associate also ensures accurate & timely delivery of required reporting.

You will report to the Manager, Provider Credentialing.

Work Location : This is a remote position, open to candidates who reside in Atlanta, Georgia. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area.

Pay Transparency : The base pay for this role is $84,240 - $110,565 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities

• Collaborate with cross-functional teams to identify provider data-related challenges and develop comprehensive solutions.
• Produce required data deliverables and provide subject matter expert support for Oscar's Operations
• Develop and implement credentialing strategies, policies, and procedures to ensure ongoing data integrity and accuracy.
• Support and conduct internal quality audits of credentialing files, processes, and systems to ensure compliance with regulatory, accreditation, and organizational requirements
• Support delegated credentialing arrangements, including initial and ongoing assessments
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

Bonus Points

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.

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.