Remote Member & Provider Care Escalations Specialist
name
- Remote job
Oscar Health is hiring a Care Specialist to join our Member & Provider Escalations team. This remote role supports providers and members, acting as a subject matter expert and liaison between production, optimization, and strategy teams. You will handle complex issues, manage case queues, and contribute to knowledge management while ensuring SLA adherence and compliant workflows across the network. #J-18808-Ljbffr name
$22 per hour
...Job Description Hi, we're Oscar. We're hiring a Care Specialist to join our Member & Provider Escalations team. Oscar is the first health insurance company... ...Escalations Operations Manager. Work Location: This is a remote role. You must reside in Arizona, Florida, Georgia...Remote workHourly payFull time- Redirect Health is hiring a Member Bills Specialist to support members through complex healthcare... ...hands-on role, you will resolve escalated issues, communicate clearly, and document... ...outcomes while partnering with providers and care teams to improve the member experience...Suggested
- ...Member Care Specialist Are you looking for a 100% work-from-home position where... ...Details United States- Remote Shift availability... ...Equipment and hardware provided. Interviewing, orientation,... ...maintaining professionalism) Escalate unresolved cases and pending...Remote workHourly payHome officeShift workEarly shiftWeekday work
- ...intra-departmental is essential to provide the best service to our internal and external members. Must be able to effectively and... ...meeting the terms of the SLCCU Remote Work Policy and SLCCU Remote... ...vendors that come through the Member Care phone line. Skip tracing...Remote workWork at officeHome officeFlexible hours
$17.9 - $24.35 per hour
...Member Care Specialist About Company Samaritan Ministries is a Biblical solution to health... ...Christ to enable and inspire members to provide for one another's medical needs... ...required Tuesday through Thursday and remote work on Monday and Friday. Occasional...Remote workTemporary workWork at officeLocal areaRelocation packageMonday to FridayFlexible hoursShift workWeekend workAfternoon shift$24.99 - $31.24 per hour
...Member Care Specialist Member Care Center Position Summary: The Member Care Specialist provides personalized service to members, advising on company products and services to... ...responsibilities and requirements of this position, remote work (telecommuting), including hybrid...Remote workFull timeWork at office- MTM is seeking a Regional Care Coordinator in Arizona, a work-from-home role, managing member transportation from intake to completion while coordinating with health plans, members, providers, and facilities. You will monitor trips, perform problem solving, educate members...Remote job
- ...ensuring maternity care bills are processed accurately and members receive timely... ...season of life. The specialist serves as a detail... ...birthday ~ Lunch is provided DAILY. ~... ...definitions Identify and escalate concerns to... ...bills. xhyhwjd Remote working/work at home...Remote workWork at officeLocal area
$17.1 - $25.65 per hour
...Patient Care Specialist II We are seeking a Patient Care... ...Health team. In this remote role, you will... ...communication between patients, providers, and care teams.... ...appropriate care team members. Maintain accurate... ...clinical staff, and escalating issues when needed....Remote workTemporary work- ...healthcare bills. Centivo is seeking Member Care Specialists to join our dynamic team. This is an in... ...problem-solver for both members and provider partners. If you are purpose-driven, enjoy... ...and follow established procedures De-escalate concerns and handle first-level...Work at office
- ...Shared Living Opportunity Are you a caring, energetic person looking to open your home... ...is seeking a similar aged Shared Living Provider (SLP) who can offer a welcoming, supportive... ..., where he is a valued and well-liked member of the team. He stays active through the...Remote work
- ...Shared Living Provider Shared Living Providers (SLPs) at Nexus are independent contractors who offer residential support in their own... ...to pass State/Federal and APS/CPS background checks (for all members in the home). Experience supporting individuals with developmental...Remote workFor contractors
- Samaritan Ministries is hiring a Member Care Specialist in Dallas. This hybrid role requires on-site Tue-Thu and remote Mon and Fri, with a 40-hour week and a $1,000 sign-on bonus. The position focuses on compassionate, Christ-centered member support. You will answer questions...Remote workRelocation package
- Lever, Inc. is seeking a remote team member to work from home with warm leads in a family-focused audience. You will learn a simple system,... ...includes meetings, clear explanations, follow-up activities, and careful note-taking with scheduling duties. Zoom interviews are...Remote jobFull timePart timeFlexible hours
- The American Retirement Association is seeking a Customer Care Coordinator to serve members and customers, answering questions, fixing problems, and... ...work is available: on-site Arlington, VA 3+ days/week, with remote options. Full-time, non-exempt, reports to the Director...Remote workFull time3 days per week
- ...SUMMARY The primary responsibility of this position is to provide quality member care by servicing internal and external members’ needs via... ...policies and procedures. Provides feedback of trends, escalated member issues etc. Provide financial counseling to members...Work experience placementFlexible hours
$48k - $55k
The Role: The Member and Provider Experience Specialist serves as the first point of contact... ...and available resources. Escalate issues as appropriate to... ...sponsored Direct Primary Care. Familiarity with HIPAA,... ...development opportunities Remote capabilities Work Hours...Remote workMonday to Friday$20.75 - $21.98 per hour
A Respite Care Specialist approaches their work from a non-judgmental... ..., documentation, de-escalation, and crisis response.... ...Friday Benefits : Yes Remote : No Hybrid : No... ...aromatherapy machines. Provide new or clean donated... ...women, people of color, members of the LGBTQI+...Remote workHourly payFull timeMonday to Friday$20 - $23 per hour
...compassionate human care, we bring clarity,... ...customer care. They provide compassionate,... ...Overview: The Care Specialist (Overnight Shift) role... ...guidelines to escalate issues to the appropriate team member and operate with caution... ...start-up Annual remote work stipend...Remote workHourly payFull timeTemporary workInternshipLive inLocal areaWorldwideMonday to FridayShift workNight shift$25 - $28 per hour
...Job Summary The Client Care Specialist serves as the primary point... ...issues promptly. Escalate serious or unresolved complaints... ...with clients and/or family members to provide updates on care and address... ...required four (4) days per week; remote work permitted one (1) day...Remote workHourly payWork experience placementWork at officeShift work1 day per week$19 - $22 per hour
...seeking a Part-Time Backup Care Support Specialist to deliver a... ...quality experience to members navigating Backup Care... ...about reimbursement, providers, and platform issues.... ...care event questions; escalate urgent same-day/next-... ...accurate resolution Have remote work experience and...Remote workPart timeWork experience placement$15 - $20 per hour
...& Cremation Services provided pay range This range... ...Position Title: Client Care Specialist Employment Type: Full... ...with on-call team members to arrange timely pickups... ...or complex issues, escalating appropriately to supervisors... ...Processor - Remote ( Must work PST hours...Remote workHourly payFull timeWork at officeRelocationFlexible hoursShift workWeekend work$53.92k
...Description Title: Continuum of Care (CoC) Specialist Group/Team: Community Impact... ..., local government, service providers, and community members to support effective program implementation... ...be able to work successfully in a remote environment with private office...Remote workFull timeContract workTemporary workCasual workLive inWork at officeLocal area- ...Description Description: Care Coordinator... ...& Onboarding Specialist supports patients... ...Care Management and Remote Patient Monitoring... ...coordinating services with providers and community... ...needs evolve. Escalate patients requiring... ..., patients, and members of company at various...Remote workHourly payFull timeWork at office
- ...Humana is seeking a Care Management Assistant to coordinate administrative... ...and facilitation of members' care needs to improve health... ...will collaborate with members, providers and care teams to prepare care... ...procedures. 40 hours weekly, remote with occasional travel. #J-1...Remote work
$55.89k - $73.36k
...Hi, we're Oscar. We're hiring a Lead, Member and Provider Services to join our Network Operations... ...Operations. Work Location: This is a remote position, open to candidates who reside... .... We're on a mission to change health care -- an experience made whole by our unique...Remote workFull timeWork at officeWork from homeHome office- ...helping older adults stay healthy and independent. The Care Coordinator will support SCAN members by assessing, planning, coordinating, and monitoring... ...a focus on compassionate, data-driven care and collaboration with providers and community resources. #J-18808-LjbffrRemote work
- .../ Caregiver - Paid Training Provided ZEBULON, NC Job Title: Direct... ...'ve been supporting a family member—and are now looking for a rewarding... .... Reliable Benefits: We care for our team. We offer competitive... ...plans, and assisting with de-escalation. Community & Integration:...Weekly payFull timePart timeRelocation packageFlexible hours
- ...Working remotely on a full-time basis, the Care Management Specialist II will manage the intake of inpatient and outpatient service requests, provide information to external customers and medical professionals... ...in training new team members Required qualifications High...Remote workPermanent employmentFull timeWeekend work
- ...Senior Appeals Representative to manage and resolve appeals and grievances. This remote role requires strong analytical skills and the ability to communicate effectively with members and providers. Candidates must have a High School Diploma and at least 2 years of...Remote workWork at office
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