Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote Member & Provider Escalations Specialist in Phoenix, AZ vacancy
  • $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 work
    Monday to Friday

    Yuzu Health

    New York, NY
    4 days ago
  •  ...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 work
    Full time

    Oscar Health

    United States
    4 days ago
  • 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

    Phoenix, AZ
    4 days ago
  • 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 job
    Full time

    Oscar Health

    Austin, TX
    2 days ago
  •  ...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 work
    Full time
    Work experience placement
    Visa sponsorship
    Work visa

    Virtual Vocations Inc

    United States
    2 days ago
  • $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 work
    Work experience placement
    Day shift

    Wellthy

    Oregon State
    2 days ago
  •  ...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 work
    Flexible hours

    Sharecare

    United States
    2 days ago
  •  ...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 work
    Full time
    Part time
    Work experience placement
    H1b
    Work at office
    Monday to Friday
    Flexible hours

    Centene Corporation

    Springfield, IL
    3 days ago
  •  ...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

    Sharecare

    Saint Paul, MN
    2 days ago
  • $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 work
    Hourly pay
    Permanent employment
    Contract work
    Temporary work
    Work at office
    2 days per week

    MSU (Michigan State University) Federal Credit Union

    East Lansing, MI
    1 day ago
  •  ...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 work
    Work experience placement

    EmblemHealth

    New York, NY
    1 day ago
  • $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 work
    Full time
    Monday to Friday
    Afternoon shift

    Professional Management Enterprises

    United States
    1 day ago
  •  ...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

    Centene Corporation

    United States
    21 hours ago
  • $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 job
    Hourly pay
    Full time

    Oscar Health

    Austin, TX
    4 days ago
  • $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 work
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Local area

    UnitedHealthcare

    Seattle, WA
    21 hours ago
  • $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 work
    Work at office

    Northrop Grumman Federal Credit Union

    Gardena, CA
    21 hours ago
  •  ...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 office
    Local area
    Visa sponsorship
    Flexible hours

    Zelis

    Saint Louis, MO
    2 days ago
  •  ...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 work
    Immediate start

    Chevron Federal Credit Union

    New York, NY
    2 days ago
  • $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 work
    Local area

    US Physical Therapy

    Remote
    2 days ago
  •  ...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

    Tuesday Health

    Oregon State
    3 days ago
  •  ...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 work
    Work from home
    Monday to Friday

    Jobrapido

    Indianapolis, IN
    2 days ago
  •  ...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

    Wayspring

    United States
    1 day ago
  • $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 work
    Work at office
    Local area
    Immediate start
    Flexible hours

    Zoom

    Oregon State
    2 days ago
  • $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 work
    Hourly pay
    Full time
    Contract work
    Work at office
    Work from home
    Shift work

    National Partners In Healthcare

    Richardson, TX
    2 days ago
  •  ...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 work
    Flexible hours

    Partner Engineering and Science

    United States
    3 days ago
  • $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 work
    Hourly pay
    Full time
    For contractors
    Local area
    Work from home

    AIL

    Remote
    1 day ago
  • $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 work
    Hourly pay
    Temporary work
    Work experience placement
    Flexible hours

    Association of American Medical Colleges

    Oregon State
    2 days ago
  •  ...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

    VXI Global Solutions

    United States
    21 hours ago
  •  ...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 work
    Work at office

    Molina Healthcare

    Phoenix, AZ
    3 days ago
  • $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 work
    Ongoing contract
    Full time
    Contract work
    Work at office
    Local area
    Work from home
    Home office

    Oscar

    New York, NY
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Member & Provider Escalations Specialist. Be the first to apply!