Associate Manager, Credentialing Operations

🕒 September 1

🇺🇸 United States – Remote

💵 $64.8k - $85.1k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

⚙️ Operations

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 15%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Oscar Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2012

⚕️ Healthcare Insurance

🏥 Healthcare

💰 $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

• Evaluate departmental performance by creating, gathering, analyzing, and interpreting data and metrics • Assist with development of departmental metrics and implementation of mitigation strategies • Lead day-to-day credentialing operations, including workload planning, queue management, service-level performance, quality, and issue resolution • Collaborate with internal and external stakeholder groups on implementation, communications, program strategies, change management, and risk mitigation • 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 • 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 is listed as bonus points, not required • Experience leading credentialing operations for a health plan, health system, provider organization, or credentials verification organization • Prior healthcare or insurance-related experience

🏖️ 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 and reimbursements • Occasional travel for team meetings and company events