[Remote] Associate, Credentialing Operations

Other Jobs To Apply

No other job posts for this day.

Note: The job is a remote job and is open to candidates in USA. Oscar is a health insurance company that focuses on serving its members through a full stack technology platform. They are hiring an Associate for their Credentialing Operations team, responsible for enhancing credentialing quality, managing operational data, and supporting compliance and reporting processes.


Responsibilities

  • Collaborate with cross-functional teams to identify provider data-related challenges and develop comprehensive solutions.
  • Produce required data deliverables and provide subject matter expert support for Oscar's Operations
  • Develop and implement credentialing strategies, policies, and procedures to ensure ongoing data integrity and accuracy.
  • Support and conduct internal quality audits of credentialing files, processes, and systems to ensure compliance with regulatory, accreditation, and organizational requirements
  • Support delegated credentialing arrangements, including initial and ongoing assessments
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Skills

  • 4+ years of credentialing experience within a health insurance company (both individual practitioner and facility, adhering to NCQA standards)
  • 3+ years professional experience resolving credentialing problems with demonstrated success digging into data to discover root causes and drive solutions
  • 2+ years of experience in quality auditing with demonstrated success in identifying and solutioning problem areas
  • 2+ years of experience presenting and delivering messages to senior leadership
  • Strong communication and interpersonal skills to effectively collaborate with cross-functional teams and stakeholders
  • Expert in Excel and/or Google Sheets with 3+ years of experience
  • Experience working with provider and facility data
  • Experience working in operations management or process improvement roles
  • Primary Source Verification
  • Background in health insurance
  • Experience building quality improvement processes

Education Requirements

  • A bachelor's degree or significant demonstrated success in field

Benefits

  • Medical, dental, and vision benefits
  • 11 paid holidays
  • Paid sick time
  • Paid parental leave
  • 401(k) plan participation
  • Life and disability insurance
  • Paid wellness time and reimbursements

Company Overview

  • Oscar is a health insurance company that offers individual and family plans, medicare advantages, and small group products. It was founded in 2012, and is headquartered in New York, New York, USA, with a workforce of 1001-5000 employees. Its website is http://www.hioscar.com.

    • Back to blog

    Common Interview Questions And Answers

    1. HOW DO YOU PLAN YOUR DAY?

    This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

    2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

    When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

    3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

    Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

    4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

    With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

    5. HOW DO YOU PROCESS INFORMATION?

    Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

    6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

    Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

    7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

    Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

    8. HOW TO PRIORITIZE WORK?

    The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

    9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

    Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

    10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

    This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...