Specialist, Provider Operations
New
O
OscarHealth Insurance
This position is fully remote and open to candidates residing in the U.S., excluding Alaska; Delaware; Hawaii; Louisiana; Montana; North Dakota; Oklahoma; West Virginia; Wyoming; and U.S. Territories.Full-TimeMiddle
Salary20 - 30 USD per hour
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Job Details
- Experience
- 2+ years of experience with MS Excel or Sheets; 2+ years of experience in Workforce Management, planning/scheduling, or operations; 1+ years of experience in a customer-facing role.
- Required Skills
- Data AnalysisMicrosoft ExcelComplianceGoogle Sheets
Requirements
- 2+ years of experience with MS Excel or Sheets, including pivot tables, conditional formatting, and nested IF statements.
- 2+ years of experience in Workforce Management, planning/scheduling, or operations.
- 1+ years of experience in a customer-facing role.
- Strong problem-solving skills.
- Ability to maintain regulatory alignment and prevent licensure lapses.
- Experience using WFM tools such as NICE, InContact, Five9, or Verint (preferred).
- Experience in real-time workforce analysis (preferred).
Responsibilities
- Manage end-to-end licensure, cross-licensing, and primary source verification for all Oscar Medical Group (OMG) providers.
- Oversee credential verification processes across state licensing boards to maintain data accuracy and regulatory compliance.
- Audit, track, and process initial and renewal license requests, managing reinstatements for lapsed credentials.
- Serve as the primary escalation point for complex licensing and supervision issues, providing guidance to Virtual Care Operations.
- Oversee physician supervision assignments for newly hired and newly licensed Advanced Practice Providers (APPs).
- Research state board requirements to build compliant workflows for APP/physician collaborations.
- Resolve operational issues by exercising judgment within standard operating procedures and analyzing data.
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