CGA Production Support Specialist

Hi, we're Oscar. We're hiring a CGA Production Support Specialist to join our Complaints Grievances and Appeals 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 CGA Liaison, Member Services (Production Support Specialist) solves complex member issues by applying the technical tools across the production operation. You will use key skills and objectivity to review inventory, identify trends and report out to leadership daily to maintain compliance with internal and external regulations and timeframes.

You will report into the CGA Team Lead.

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: $43,966- $57,706 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities

You will manage, or escalate complex issues that are not solved using conventional workflows

Manage internal or external escalated transactions and communicate with appropriate parties for resolution mindful of Service level agreements

Conduct workflow reviews and provide feedback to improve internal processes and department quality

Support specialist by supporting complex issues that are not solved using conventional workflows

Be a point person for team members in other areas of the business to improve feedback loops and trend member issues

Support service ops reps through a variety of communication venues

Compliance with all applicable laws and regulations

Requirements

2+ years previous work experience in a fast-paced volume-based environment

2+ years strong quantitative or analytical skills focused on solving problems

High school diploma or GED

Bonus points

Bachelor's Degree

Advanced Google Suite or Microsoft Office capabilities or willingness to learn

Advanced Operations Certificate (Lean Six Sigma or similar)

Previous project oversight experience

Proficiency navigating and working in multi-system environment

Prior career practice relating to conflict management and providing feedback to others

Strong verbal and written communications, and interpersonal interactions

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here .

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.

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