About the job
Join Oscar Health as a Senior Analyst for Credentialing Operations, where you will be an integral part of our Provider Operations team.
At Oscar, we are redefining health insurance through our innovative technology platform and unwavering commitment to our members. Founded in 2012, we aim to create a health insurance experience that feels personal and supportive, like having a trusted family doctor.
Role Overview:
As a Senior Analyst, you will enhance the quality of our credentialing processes, ensuring that provider data is accurate and up-to-date. Your efforts will directly improve provider interactions and member experiences. You will manage complex data issues and collaborate with various teams to deliver outstanding service.
This position reports directly to the Manager of Provider Credentialing.
Work Location: This is a remote role open to candidates residing in Arizona. While you will primarily work from home, occasional travel may be necessary for team meetings and company events. #LI-Remote
Pay Transparency: The salary range for this role is $61,851 - $81,180 annually. Additionally, you will have access to our employee benefits, unlimited vacation program, and annual performance bonuses.
Key Responsibilities:
- Ensure the accuracy and quality of both existing and incoming provider information, catering to complex provider data needs.
- Drive administrative process enhancements to improve operational productivity.
- Offer continuous training and support to the Credentialing Operations team.
- Conduct Primary Source Verification (PSV) and validate credentials in alignment with NCQA standards.
- Assist team members at all levels with research and resolution of escalated issues.
- Communicate effectively with providers and internal teams, fostering collaboration across departments.
- Manage your caseload and queue work through effective dashboard use while maintaining data integrity.
- Adhere to all relevant laws and regulations.
- Perform other duties as assigned.

