Oscar

Award-winning recruitment consultancy; delivering talent across Tech, Digital, Life-Sciences, Energy & Construction

Senior Analyst, Credentialing Operations

OperationsOperationsFull TimeRemoteTeam 51-200H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

9 days ago

Salary

$61.9K - $81.2K / year

2 yrs expEnglish

Job Description

• 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

Job 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

Related Categories

Related Job Pages

More Operations Jobs

Field Trainer – Store Operations

FleetPride

We Keep America’s Trucks Moving.

Operations9 days ago
Full TimeRemoteTeam 1,001-5,000Since 1999H1B Sponsor

Field Trainer delivering operational training for FleetPride team members

United States
Full TimeRemoteTeam 10,001+Since 1990H1B No Sponsor

Presentation Specialist creating engaging presentations for ICON's clinical development

Pennsylvania

Regional Operations Manager, Safety

Airbnb

Airbnb is a community based on connection and belonging.

Operations9 days ago
Full TimeRemoteTeam 5,001-10,000Since 2007H1B Sponsor

Manager of Regional Operations overseeing trauma informed customer service teams.

SQLTableau
Alabama + 9 moreAll locations: Alabama, Alaska, Nebraska, North Dakota, Ohio, Oklahoma, Mississippi, Rhode Island, South Dakota, Wisconsin
$140K - $175K / year

Manager, Field Operations

Airbnb

Airbnb is a community based on connection and belonging.

Operations9 days ago
Full TimeRemoteTeam 5,001-10,000Since 2007H1B Sponsor

Manager leading supply acquisition strategy in Airbnb's Northeast Atlantic territory

Connecticut + 12 moreAll locations: Connecticut, District of Columbia, Maine, New Hampshire, New Jersey, New York, Maryland, Massachusetts, Pennsylvania, Rhode Island, Vermont, Virginia, West Virginia
$160K - $200K / year