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Associate Manager, Credentialing Operations

đŸ”„ 0 minutes ago

đŸŒ” Arizona, Florida, +1 more states – Remote

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đŸ’” $64.8k - $85.1k / year

⏰ Full Time

🟱 Junior

🟡 Mid-level

⚙ Operations

đŸš«đŸ‘šâ€đŸŽ“ No degree required

🩅 H1B Visa Sponsor

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đŸ‘» Ghost score 0%

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Logo of Oscar Health

Oscar Health

1001 - 5000 employees

Founded 2012

⚕ Healthcare Insurance

đŸ„ Healthcare

đŸ”„ Funding within the last year

💰 $355M Post-IPO Debt - Oscar Health on 2025-09

Healthcare Insurance ‱ Healthcare

Oscar Health is a technology-driven health insurance company that provides individual, family, and small-group health plans in multiple U. S. states. Oscar combines traditional insurance underwriting with digital-first services — a consumer-facing app, 24/7 virtual urgent care, prescription delivery (including $3 meds in many plans), and dedicated Care Teams — and also operates Oscar Primary Care in some markets. The company emphasizes accessible, affordable, high-quality care and uses AI to improve member experience and care delivery. Insurance policies are underwritten by Oscar's state insurance subsidiaries and the company offers both HMO and other plan types across its markets.

📋 Description

‱ Lead the day-to-day credentialing operation, including workload planning, queue management, service-level performance, quality, and issue resolution ‱ Evaluate departmental performance by creating, gathering, analyzing, and interpreting data and metrics ‱ Assist in developing departmental metrics and implementing mitigation strategies ‱ Collaborate with internal and external stakeholders on implementation, communications, and program strategies ‱ Conduct root-cause analysis on systemic issues and construct action plans ‱ Maintain, analyze, and communicate reporting on assigned team KPIs ‱ Track monthly and quarterly KPIs to meet departmental objectives ‱ Hire and manage a team, including performance management, growth and development, and HR administrative tasks ‱ Ensure compliance with applicable laws and regulations ‱ Perform other duties as assigned ‱ Report to the Senior Manager, Provider Operations Credentialing

🎯 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

đŸ–ïž Benefits

‱ Employee benefits ‱ Unlimited vacation program ‱ Annual performance bonuses ‱ Medical benefits ‱ Dental benefits ‱ Vision benefits ‱ 11 paid holidays ‱ Paid sick time ‱ Paid parental leave ‱ 401(k) plan participation ‱ Life insurance ‱ Disability insurance ‱ Paid wellness time ‱ Wellness reimbursements ‱ Occasional travel for team meetings and company events

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