Oscar

Senior Analyst, Credentialing Operations

Oscar

full-time

Posted on:

Location Type: Remote

Location: ArizonaFloridaUnited States

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Salary

💰 $61,851 - $81,180 per year

Job Level

About the role

  • Maintain existing and incoming provider information to ensure accuracy and quality of the network by supporting complex non-standard provider information processing needs.
  • Assist with administrative process improvements to enhance productivity
  • Provide ongoing training and support to Credentialing Operations team members
  • Conduct Primary Source Verification (PSV) and validate practitioner and facility credentials in compliance with NCQA standards
  • Support employees on the team of all levels through escalation research and resolution
  • Effectively communicate findings and resolutions with providers and internal departments inclusive of collaboration with cross-functional stakeholders
  • Manage queue work and assigned caseload through effective dashboard management while ensuring integrity of information entered into company and external systems. Support junior employees in queue management and prioritization.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements

  • 2+ years of credentialing experience, both individual practitioner and facility, adhering to NCQA standards
  • 2+ years of intermediate Excel/Google Sheet proficiency
  • 2+ years of assessing and comprehending end to end process impact
  • 2+ years experience resolving credentialing problems
  • 2+ years of inventory management queue experience
Benefits
  • Employee benefits
  • Participation in Oscar's unlimited vacation program
  • Annual performance bonuses
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
credentialingPrimary Source VerificationExcelGoogle Sheetsprocess assessmentproblem resolutioninventory managementqueue management
Soft Skills
administrative process improvementtrainingsupportcommunicationcollaborationresearchresolutionprioritization
Certifications
NCQA standards compliance