Specialist, Provider Data Operations

1 hour, 16 minutes ago
Full-time
Junior
Data Science and Analytics
Oscar

Oscar

Oscar is a health insurance company that offers plans for individuals, families, and small businesses. With a focus on humanizing health care through technology, design, and data, Oscar provides easy-to-understand bills, 24/7 access to doctors, and a p...

Insurance
1K-5K
Founded 2012

Description

  • Maintain existing and incoming provider demographic information to ensure accuracy and quality of the network.
  • Manage ingestion of provider data while meeting service delivery, productivity, and quality expectations.
  • Process provider and facility rosters, reformat data, and support updates to provider records.
  • Communicate with providers by email to confirm completion, request additional information, and handle follow-up inquiries.
  • Identify, measure, monitor, and surface provider issues in line with standard operating procedures.
  • Build training materials, update workflows, and support coaching from the team lead or SME.
  • Track business decisions and develop initial root cause analyses and reports for review by team leads and SMEs.
  • Help develop and maintain quality assurance standards and support corrective actions and cross-functional communication.
  • Escalate and resolve provider data issues to meet turnaround time requirements.
  • Manage queue work and assigned caseloads while maintaining data integrity in internal and external systems.

Requirements

  • 2+ years of work experience in healthcare working with provider data management.
  • 2+ years of intermediate proficiency in Excel or Google Sheets.
  • 1+ years of experience assessing and understanding end-to-end process impact.
  • 2+ years of strong quantitative or analytical experience focused on identifying or solving problems proactively.
  • 2+ years of experience in a fast-paced, production-based environment.
  • Bachelor's degree preferred.
  • Lean Six Sigma or similar operations certification preferred.
  • 1 year of entry-level proficiency in SQL, BigQuery, or a similar database language preferred.
  • Prior work experience in tech and/or healthcare preferred.
  • Proficiency using a credentialing or provider data repository preferred.
  • Experience working with large datasets, data verification, data management, or data modeling preferred.
  • Experience with healthcare data such as provider and/or claims data preferred.

Benefits

  • Set pay rate of $24.00 per hour.
  • Eligible for employee benefits.
  • Monthly vacation accrual at a rate of 15 days per year.
  • Medical, dental, and vision coverage.
  • 11 paid holidays and paid sick time.
  • Paid parental leave.
  • 401(k) plan participation.
  • Life and disability insurance.
  • Paid wellness time and reimbursements.

Interested in this position?

Apply directly on the company website

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