Remote Member & Provider Escalations Specialist
Oscar Health
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$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- ...Oscar Health is hiring a Care Specialist to join the Member & Provider Escalations team in a remote capacity. You will solve complex issues affecting providers and members, assist with internal questions and training, and help track network issues. The role reports to...Remote workFull time
- Oscar Health is hiring a Care Specialist for the Member & Provider Escalations team. You will resolve complex issues for providers and members, act as a subject... ...between production and optimization teams. This remote role requires residing in AZ, FL, GA, or TX. You will...Remote job
- Oscar Health is hiring a Care Specialist for the Member & Provider Escalations team. This remote role focuses on resolving complex issues for members and providers, with responsibilities including training support and knowledge management. You will work with the Members...Remote jobFull time
- ...To improve customer service, the full-time remote Escalation Response Specialist will respond to complex complaints and escalations from members or providers, manage problem tickets, and provide feedback to upper management regarding issues. Key responsibilities Provide...Remote workFull timeWork experience placementVisa sponsorshipWork visa
$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- ...Sharecare is seeking a Customer Service - Escalations specialist to handle escalated member concerns and support the Help Desk remotely. You will research inquiries, provide timely resolutions, and collaborate with CSR teams to improve first contact resolution. The...Remote workFlexible hours
- ...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
- ...company delivering software and services to improve care quality, outcomes, and costs. The role focuses on escalating member concerns, researching inquiries, and providing timely resolutions while supporting the Customer Service team. The position requires strong...Remote work
$18 - $20 per hour
...Member Solutions Specialists assist members facing financial difficulties by finding... ...(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 employmentContract workTemporary workWork at office2 days per week- ...performance auditing and support maintenance of provider data integrity across core operational... ...compiling data, tracking results, and escalating issues as needed. Compile and share data... ...best practices with peers and new team members as requested.Participate in cross-...Remote workWork experience placement
$20 - $22 per hour
...Member Outreach Specialist Position Summary BKG Enterprises is seeking a Member Outreach... ...outreach to identify barriers to care, provide education, coordinate services, and help... ...urgent or complex member needs and escalate appropriately. Document member contacts...Remote workFull timeMonday to FridayAfternoon shift- ...Centene Corporation is seeking a Customer Escalation Specialist in Florida to respond to complaints and escalations from members and providers. You will coordinate with multiple departments to resolve issues, perform root cause analysis, and maintain accurate records...Remote work
$22 per hour
Oscar Health is hiring a Care Specialist for our Member & Provider Escalations team. This is a remote role, with a set rate of $22.00 per hour. You will help resolve complex issues for members and providers and support with workflows and training. We value one plus years...Remote jobHourly payFull time$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 workHourly payMinimum wageFull timeWork experience placementLocal area$30.22 - $42.31 per hour
...Member Experience Improvement Specialist - Remote Join to apply for the Member Experience Improvement Specialist... ...analysis and trending analytics for escalations and survey results through... ...escalated Member calls as needed. Provide support in various areas as needed...Remote workWork at office- ...Provider Escalation & Resolution SpecialistThe Provider Escalation & Resolution Specialist will be responsible for providing exceptional customer service and support to clients... ...and will work closely with other team members to deliver high-quality service.What You'll...Work at officeLocal areaVisa sponsorshipFlexible hours
- ...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
$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
- ...therapists, behavioral health specialists, and health coaches—all in... ...innings, which means every team member plays a critical role in... ...and deeply passionate about providing patients with access to high... ...behavior change. Benefits Fully remote; 40 hours per week, Monday-Friday...Remote workWork from homeMonday to Friday
- ...Wayspring is seeking an Engagement Specialist to remotely support members enrolled in our program. You will telephonically engage with individuals,... ...The role emphasizes building trusted relationships and providing a steady, supportive presence as members navigate recovery...Remote work
$76.8k - $186.2k
...this role, you're the senior escalation point when porting situations... ...escalations, you'll mentor the Porting Specialists around you and help build the... ...to the appropriate team members, ensuring every issue reaches... ...around our offices and remote work environments. The work style...Remote workWork at officeLocal areaImmediate startFlexible hours$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- ...This fully remote position focuses on building meaningful connections with prospective members of a kidney health management program. You will engage with individuals... ...members access valuable health support. It provides a collaborative, performance-driven remote environment...Remote workFlexible hours
$90k - $119.98k
...Overview AO Globe Life is seeking a Remote Coverage Specialist to help clients explore life,... ...their coverage decisions. Our team provides warm leads, online training, daily coaching... ...with a stable organization serving members for 70 years Qualifications Strong...Remote workHourly payFull timeFor contractorsLocal areaWork from home$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- ...is seeking a Healthcare Call Center Representative to provide comprehensive support to members, providers, and patients. You will document inquiries,... ...compliance, data accuracy, and customer satisfaction. This remote position requires strong communication and problem-...Remote work
- ...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 workWork at office
$67.81k - $89k
...Oscar. We're hiring a Senior Specialist to join our Network Recruitment... ...focus on serving our members. We started Oscar in 2012 to... ...through administration of new provider contracting lifecycle. This involves... .... Work Location This is a remote position, open to candidates...Remote workOngoing contractFull timeContract workWork at officeLocal areaWork from homeHome office
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