Job Description:
Resolve escalated questions from health plan members and providers by phone, secure message, and email while managing your own case queue. Fully remote at a set rate of $22/hour.
About the Role
Oscar Health is hiring a Care Specialist for its Member & Provider Escalations team. You will handle the trickier issues that members and medical providers bring to the company, act as a go-to expert for front-line service reps, and help keep internal knowledge resources accurate.
What You Will Do
- Handle inbound and outbound calls, secure messages, and emails with members and providers
- Work an assigned caseload through a dashboard and resolve issues within service-level targets
- Investigate root causes and share findings with providers and internal teams
- Support service representatives with complex cases, workflows, and training
- Flag outdated or incorrect information in the internal knowledge base
- Spot trends and partner with operations teams to improve the member and provider experience
What You Need
- 1+ year in customer support, healthcare, tech, or a related field
- At least 6 months of customer or member service experience
- 1+ year handling escalations in a customer service setting
- Comfort working in a fast-paced environment
- Bonus: claims experience or bilingual Spanish
Location & Pay
Remote role; you must live in Arizona, Florida, Georgia, or Texas. Pay is set at $22.00/hour, with full-time benefits including medical, dental, vision, 401(k), paid holidays, and 15 days of vacation accrual per year.