Lead, Member and Provider Services
$55.89k - $73.36kOscar Health
Hi, we're Oscar. We're hiring a Lead, Member and Provider Services to join our Network Operations. Oscar is the first health insurance company built around a full stack technology platform and a relentless 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 The Lead, Provider Services is a provider data and production workflow expert within a payor healthcare environment. This role is responsible for creating, implementing, and optimizing production workflows while driving team performance against established goals and KPIs. The Lead provides day-to-day coaching and leadership to support staff and partners with cross-functional stakeholders to develop workflow solutions that improve operational efficiency, data accuracy, quality, and overall team performance. You will report into the Manager, Provider Data Operations. Work Location This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events.
#LI-Remote Pay Transparency The base pay for this role is: $55,890 - $73,355 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities - Hire and manage a team of Oscar colleagues with direct responsibility for performance management, their growth and development, and associated HR administrative tasks - Manage your team's outcomes, monitor dashboards, and track operational KPIs, conducting root-cause analysis and constructing action plans when issues arise - Understand and be connected to the type of work your team does on a daily basis, being able to make volume-based decisions that best serve our customers. - Serve as a central communicator by leading team huddles with Oscar colleagues, connecting colleagues to the mission, vision, and values of Oscar, and providing guidance and motivation to achieve daily operational objectives - Be a culture carrier, driving engagement with your team by creating an inclusive and inviting culture that aligns with Oscar's core values - Actively lead and participate in continuous improvement activities that drive or influence the improvement and development of a high performing production team - Identifying and closing gaps on existing operational workflows - Work collaboratively across production and other Oscar teams to implement best practice - Compliance with all applicable laws and regulations - Other duties as assigned Requirements - 2+ years experience of provider data experience with a health insurance company - 1+ year of direct people management experience - 1+ years of experience using data and metrics to drive improvements - 1+ years of experience working with teams in multiple locations and multiple disciplines - Work according to the Work Location section above. Bonus points - Bachelor's degree - Lean Six Sigma or Process Improvement certification - Prior healthcare and/or insurance experience - Advanced Google Suite or Microsoft Office capabilities - 2+ years experience solving complex inquiries - 1+ years managing projects This is an authentic Oscar Health job opportunity. 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.
$180.5k - $236.91k
...Description Hi, we're Oscar. We're hiring a Senior Director, Member and Provider Services to join our team. Oscar is the first health insurance... ...: The Senior Director, Member and Provider Services leads the strategy, performance, and future readiness of Tier 1...SuggestedFull timeTemporary workRemote workWork from homeHome officeShift work$50k - $60k
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$165k - $200k
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$90k - $100k
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$50k - $75k
...efficiency, and maintains our commitment to outstanding customer service. The ideal candidate leads by example, takes initiative, communicates clearly, and... ..., welcoming environment for clients and team members.Qualifications:Prior experience in office management or...Full timePart timeFor contractorsWork at officeRemote work$20 - $26 per hour
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...RESPONSIBILITIES: Establish customer relationships and follow up with customers, as needed. Provide prompt, accurate, and friendly customer service. Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy...For contractorsWork at officeWork from homeFlexible hours$156.6k - $215.4k
...technology solutions that enable exceptional member and provider experiences. The Director, Segment... ...Engineering – Segment, this role will lead teams responsible for delivery quality,... ..., the self-provided internet service of Home or Hybrid Home/Office employees...Full timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$62k - $68k
...Title of role: Member Services Supervisor Location: Remote Approved Salary Range: $62,00... ...coaching plans for each team member. You will provide frequent, actionable feedback and hands-... ...team. Cultivate Excellence: Lead impactful virtual team huddles and 1:1 meetings...Full timeRemote workFlexible hoursShift workWeekend work$62k - $68k
...next steps. Our partner is looking for a Member Services Supervisor based in the United States.... ...a Member Services Supervisor, you will lead a fully remote team dedicated to delivering... ..., behavior-based coaching plans. Provide frequent, actionable feedback that improves...Full timeRemote workShift work$140k - $195k
...motivated, self-driven Engagement Lead to oversee forensic... ...investigations. Am I a Partner Services Engagement Lead candidate? Have... ...platforms Help review and provide strategic, applicable, and feasible... ...and coordinate all team members to keep workflow on track Plan...Full timeWork experience placementWork at officeLocal areaRemote workWorldwide- ...review process to educate customers about insurance options. Develop leads, schedule appointments, identify customer needs, and market appropriate products and services. As an Agent Team Member, you will receive ~401K ~ Salary plus commission/bonus ~...For contractorsWork at officeRemote workFlexible hours
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$91k - $123k
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...caring community Humana is seeking a Lead Product Manager - Provider Direct Connect to lead the strategy,... ...with Customer Success, Provider Services, Implementation, or Account Management... ...lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While...Full timeTemporary workWork at officeRemote workWork from homeHome office$45 - $55 per hour
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$58k - $95k
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