[Hiring] Specialist, Provider Data Operations @Oscar Health

Role Description

Hi, we're Oscar. We're hiring a Specialist, Provider Data Operations to join our Provider Operations team. You will be responsible for the accurate management and maintenance of provider data at Oscar. Key responsibilities include:

• Processing provider and facility rosters
• Reformatting data
• Supporting updates to provider records
• Regular communication with providers via email to confirm request completion, obtain additional information, and address follow-up inquiries
• Collaborating with internal teams by triaging, remediating, and escalating requests as necessary
• Reporting into the Provider Operations Lead

Work Location: This is a remote position, open to candidates who reside in Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events.

Pay Transparency: The set pay rate for this role is $24.00 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.

Responsibilities

• Maintain existing and incoming provider demographic information to ensure accuracy and quality of the network
• Manage ingestion of provider data while maintaining service delivery, productivity, and quality expectations
• Surface various provider issues through proactive identification, measurement, and monitoring of operations
• Build training materials, update workflows, and support team lead or SME in coaching
• Support driving and tracking business decisions, develop initial root cause analyses and reports for review
• Assist in developing and maintaining standards for quality assurance
• Escalate and resolve provider data issues to ensure appropriate turnaround times
• Support more junior employees through provider data escalation research and resolution
• Effectively communicate findings and resolutions with key stakeholders
• Manage queue work and assigned caseload through effective dashboard management
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 2+ years of work experience in healthcare working with provider data management
• 2+ years of intermediate Excel/Google Sheet proficiency
• 1+ years of assessing and comprehending end to end process impact
• 2+ years strong quantitative or analytical skills focused on proactively identifying or solving problems
• 2+ years previous work experience in a fast-paced production-based environment

Bonus Points

• Bachelor's Degree
• Lean Six Sigma or similar operations certifications
• 1 year of entry level proficiency in SQL, BigQuery or similar database language experience
• Prior work experience in tech and/or healthcare
• Proficiency in using a credentialing or provider data repository
• Experience working with large datasets, data verification, data management, data modeling
• Experience with healthcare data such as provider and/or claims data

Benefits

• Medical, dental, and vision benefits
• 11 paid holidays
• Paid sick time
• Paid parental leave
• 401(k) plan participation
• Life and disability insurance
• Paid wellness time and reimbursements