Remote Member & Provider Escalations Specialist
Oscar Health
- Remote job
Oscar Health is hiring a Care Specialist to join our Member & Provider Escalations team. You will be a subject matter expert for Member and Provider Services and liaise between production and optimization teams. You will assist with internal questions, training support, and knowledge management, manage a queue of cases, and report on network issues. This is a remote role with residency in AZ, FL, GA, or TX. #J-18808-Ljbffr Oscar Health
$48k - $55k
The Role: The Member and Provider Experience Specialist serves as the first point of contact for members and healthcare... ...tools, and available resources. Escalate issues as appropriate to ensure... ...and development opportunities Remote capabilities Work Hours will be Monday...Remote workMonday to Friday$20 - $25 per hour
...experience and outcomes for members. We’re building,... ...our Member Activation Specialist-Inbound , you will... ...satisfaction and retention. Provide warmth, empathy, and... ...Response, and own the escalation process to ensure... ...20-$25/hour. ~ Remote work environment....Remote workWork experience placementDay shift$30.22 - $42.31 per hour
...Member Experience Improvement Specialist - RemoteJoin to apply for the Member Experience Improvement Specialist - Remote role at Northrop Grumman Federal Credit Union... ...analytics for escalations and survey results through... ...calls as needed.Provide support in various areas...Remote workWork at office$18 - $20 per hour
...Member Solutions Specialist Member Solutions Specialists assist members facing... ...(able to work 2 days/week remotely) at our East Lansing... ...secured loans. Address escalated member situations and take... ...promotions. Act as a mentor and provide guidance in the absence of...Remote workHourly payPermanent employmentTemporary work2 days per week- ...recruiting for a full-time Member Solutions Specialist. If you have a passion for... ...paced environment to apply. We provide paid vacation after 90 days... ...and membership base. REMOTE WORK ELIGIBILITY AND... ...as the dedicated point of escalation for sales-focused interactions...Remote workFull timeWork at officeLocal areaShift work
- ...the United States is seeking a detail-oriented Escalations Specialist to respond to complaints and member or provider escalations. The role supports executive level... ...written and verbal communication. You will work remotely with EST hours (8:00am-5:30pm), coordinating with...Remote job
- ...and outcomes. The Customer Service - Escalations role supports the team by handling escalated member concerns, researching inquiries, and providing timely resolutions across phone, chat,... ...assist with outbound campaigns. This is remote, full-time with flexible hours to meet...Remote jobFull timeFlexible hours
$20 - $22 per hour
Member Outreach Specialist Position Summary BKG Enterprises is seeking a Member Outreach Specialist to... ...to identify barriers to care, provide education, coordinate services, and help... ...Identify urgent or complex member needs and escalate appropriately. Document member...Remote jobFull timeMonday to FridayAfternoon shift- Position Purpose: Responds to complaints and escalations from members or providers. Handles escalations, handling problem tickets, and providing feedback... ...-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT. This is a remote position and the hours are between 8:00am and 5:30pm EST...Remote workFull timePart timeWork experience placementH1bWork at officeMonday to FridayFlexible hours
$28.27 - $50.48 per hour
Provider Reimbursement Specialist - Remote in WA or NC Join to apply for the Provider Reimbursement Specialist -... ...project status to senior level audience Escalate issues as appropriate to varying... ...account onboarding Support team members with questions and guidance, act as...Remote jobHourly payMinimum wageFull timeWork experience placementLocal area- ...mutual respect, diversity, and providing a voice for every employee... ...responsible for delivering excellent member experiences by responding to... ...level agreements are met. Escalates concerns when necessary to... ...for the CPRA Request Form. #LI-REMOTE Equal Opportunity Employer...Remote workImmediate start
- ...Provider Escalation & Resolution Specialist The Provider Escalation & Resolution Specialist will be responsible for providing exceptional customer service... ...for clients and will work closely with other team members to deliver high-quality service. What You'll Do:...Work at officeLocal areaVisa sponsorshipFlexible hours
- AO Globe Life is seeking new team members to join a fully remote, mission-driven team that puts people first. This role is a great match for recent... ...scheduling - Complete training and licensing support provided - Weekly, performance-based earnings - Bonuses paid monthly...Remote workHourly payFor contractorsFlexible hours
$55.93k - $65.8k
...patient care conducted by our member institutions. We are... ...Hybrid Work – Primarily remote roles with the ability to work... ...us, why now? This position provides operational and programmatic... ...Director, AAHCI Senior Program Specialist, and AAHCI Regional Offices to...Remote workHourly payTemporary workWork experience placementFlexible hours$58k - $63k
...positive attitude to join our company as a Provider Enrollment Specialist on the Managed Care Operations team.... ...exceptional level of service to our members. This job requires professional... ...Work Environment The role follows a remote work schedule central hours. Must...Remote workLocal area- ...Member Engagement Specialist (CST) - Bilingual, Spanish Location: Remote (must be located in CST) Who We Are: Tuesday Health is a value-based palliative care provider group dedicated to transforming serious illness and end-of-life care. We deliver goal-centered...Remote work
$21 - $25 per hour
...Provider Enrollment Specialist Fully Remote • Work from Home - Richardson, TX 75082 Overview Salary Range $21.00 - $25.00 Hourly Position Type... ...collaboration, and continuous improvement. We value team members who take ownership, communicate openly, and are...Remote workHourly payFull timeContract workWork at officeWork from homeShift work- ...Member Appeals Specialist Primary responsibilities would include triaging incoming appeals/grievances, categorizing them appropriately, assigning... ...team meetings, Avaya for phone calls, etc. We will provide training before assigning a small case load and monitor...Remote workTraineeship
- A technology service provider is seeking a Remote Customer Care Specialist based in Las Vegas. In this role, you will engage with members through phone, email, and chat to support their needs and enhance their overall experience. Responsibilities include managing membership...Remote work
- Deseret First Credit Union is seeking a Member Service Agent to assist members over the phone and through email with account needs, transactions... ...professional service in a supportive environment. Training is provided, with potential work-from-home flexibility after onboarding....Remote jobWork from home
$24 - $26 per hour
...healthcare professionals and team members at more than 1,000 health... ...for everyone. TAG provides a comprehensive suite of... ...as a Provider Enrollment Specialist, which will be based remotely.The Provider Enrollment... ...RCM) team to resolve any escalated enrollment or credentialing...Remote workHourly payContract workTemporary workWork at office$58.8k - $70k
...Growing together. The Provider Engagement Specialist will have responsibility for... ...needs, implement escalation processes for discrepancies... ...problems, to include claims and member support services Maintains... ...*All employees working remotely will be required to adhere...Remote workMinimum wageFull timeWork experience placementWork at officeLocal area- Foodsmart is seeking a remote Member Support Specialist, Escalations & Grievances to resolve complex, high-priority member issues with empathy and precision. You will coordinate with health plans, RDs, and internal teams, guiding sensitive cases to timely, compliant resolutions...Remote job
- ...oriented customer service professional for a remote role in the United States. The position... ...emails, and information intake to match members with appropriate legal representation.... ...follow-up to confirm consultations with providers. Strong communication and organizational...Remote job
- ...After 1 Year Role: Assist members, potential members and other... ...accordance with the credit union's Remote Work policy. Essential... ...questions and concerns. Provides follow up as needed. E - 1... ...supporting the Member Solutions Specialist as necessary. N - 5% Performs...Remote workPart timeWork from home
- Rogue Credit Union is seeking a remote-friendly Member Contact Center representative to greet and assist members with active listening, providing accurate information and service across phone, email, and other channels. Role requires 1-12 months of related experience, a...Remote job
- Centene Corp. is seeking a Provider Performance Specialist II to remotely support the New York area. You will analyze performance data, discuss results with... ..., and collaborate with quality teams to drive better member outcomes. The role emphasizes proficiency with VBP tools...Remote job
- Molina Healthcare is seeking a Level II contact center specialist to provide service excellence for members and providers across multiple states. The role uses phone, chat and email channels, resolves issues, and supports continuous quality improvement initiatives related...Remote jobWork at office
- ...Operations Team Member We're seeking an experienced Operations Team Member to join... ...investigating and resolving issues rather than escalating them. Develop deep product and... ...Francisco Bay Area 3 days onsite and 2 days remote per week following an initial training...Remote work2 days per week
- This fully remote position focuses on building meaningful connections with prospective members of a kidney health management program. You will engage with individuals across... ...members access valuable health support. It provides a collaborative, performance-driven remote environment...Remote jobFlexible hours
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