
Senior Analyst, Credentialing Operations
Oscar
full-time
Posted on:
Location Type: Remote
Location: Arizona • Florida • United 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