认证运营助理经理
Associate Manager, Credentialing Operations
你好，我们是Oscar。我们正在招聘一名Associate Manager, Credentialing Operations，加入我们的Credentialing团队。
Oscar是首家围绕完整技术平台和对服务会员的执着追求而建立的健康保险公司。我们于2012年创立Oscar，旨在打造我们自己希望拥有的健康保险公司——一家像家庭医生一样的公司。
关于该职位：
Associate Manager, Credentialing Operations负责带领一个团队，确保提供者认证和重新认证的准确性和及时性。该职位负责生产、质量、服务水平和升级处理，并确保符合相关法规、认证、合同和内部要求。Associate Manager利用绩效数据和跨职能合作，改进流程，降低风险，加强提供者体验，并保持网络准备状态。
你将向Provider Operations Credentialing的Senior Manager汇报工作。
工作地点：这是一个远程职位，面向居住在以下地区的候选人：亚利桑那州；佛罗里达州；佐治亚州；或德克萨斯州。虽然你的日常工作将在家中完成，但可能需要偶尔出差参加团队会议和公司活动。#LI-Remote
薪资透明度：该职位的基本薪资为：每年64,832 - 85,092美元。你还有资格享受员工福利，参与Oscar的无限休假计划和年度绩效奖金。
职责：
- 通过创建、收集、分析和解释数据和指标来评估部门整体表现，并协助制定部门指标和实施缓解策略
- 领导日常认证运营工作，包括工作量规划、队列管理、服务水平、质量和问题解决
- 与所有相关内部和外部利益相关者协作，制定主动实施方案、沟通和项目策略，以成功进行变更管理和风险缓解
- 对系统性问题进行根本原因分析并制定行动计划以解决问题
- 维护、分析并传达所负责团队KPI的报告。跟踪每月和每季度数据以达成部门目标
- 招聘和管理一支由Oscar同事组成的团队，直接负责他们的绩效管理、成长和发展以及相关的HR行政事务
- 遵守所有适用法律
查看英文原文
Hi, we're Oscar. We're hiring an Associate Manager, Credentialing Operations to join our Credentialing Team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.
About the role:
The Associate Manager, Credentialing Operations leads a team responsible for accurate and timely provider credentialing and re-credentialing. This role oversees production, quality, service levels, and escalations and ensures compliance with applicable regulatory, accreditation, contractual, and internal requirements. The Associate Manager uses performance data and cross-functional partnerships to improve workflows, mitigate risk, strengthen provider experience, and maintain network readiness.
You will report into the Senior Manager, Provider Operations Credentialing.
Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote
Pay Transparency: The base pay for this role is: $64,832 - $85,092 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:
- Evaluates overall departmental performance by creating, gathering, analyzing and interpreting data and metrics as well as assisting in development of departmental metrics and implementation of mitigation strategies
- Lead the day-to-day credentialing operation, including workload planning, queue management, service-level performance, quality, and issue resolution
- Collaboratively works with all relevant internal and external stakeholder groups to formulate proactive implementation, communications, and program strategies for successful change management and risk mitigation initiatives
- Conduct root-cause analysis on systemic issues and construct action plans to address
- Maintains, analyzes, and communicates reporting on assigned team KPIs. Track monthly and quarterly to meet departmental objectives
- Hire and manage a team of Oscar colleagues with direct responsibility for performance management, their growth and development, and associated HR administrative tasks
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements:
- 3+ years of direct people management experience
- 2+ years of experience in provider credentialing, re-credentialing, provider enrollment, or a closely related function
- 3+ years of healthcare operations experience supporting high-volume production teams
- 1+ year experience using data to drive decision making and continuous improvement
Bonus points:
- Strong proficiency navigating Excel/Google Sheets, JIRA, and/or SQL
- Working knowledge of credentialing standards and requirements, including NCQA, CMS, state, and delegated-credentialing requirements
- Experience supporting process improvement initiatives cross-functionally
- Bachelor’s Degree
- Experience leading credentialing operations for a health plan, health system, provider organization, or credentials verification organization
- Prior healthcare or insurance-related experience
This is an authentic Oscar Health job opportunity.
At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.
California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy.