Associate Manager, Credentialing Operations

Job description

About this role

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. 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
• as assigned

Qualifications and 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
• 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
• Experience leading credentialing operations for a health plan, health system, provider organization, or credentials verification organization
• Prior healthcare or insurance-related experience