Associate Manager, Credentialing Operations

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About the role

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 position is fully remote and open to candidates residing in the U.S., excluding Alaska; Delaware; Hawaii; Louisiana; Montana; North Dakota; Oklahoma; West Virginia; Wyoming; and U.S. Territories. Daily work is completed from your home office, with occasional travel required for team meetings and company events. #LI-Remote Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $72,036 - $94,547 per year. The base pay for this role in all other locations 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 discrimi

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