Associate Manager, Credentialing Operations

Hi, we're Oscar . We're hiring an Associate Manager, Credentialing Operations to join our Credentialing 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 Associate Manager, Credentialing Operations leads a team responsible for accurate and timely provider credentialing and re-credentialing. This role oversees production, quality, service levels, and escalations and ensures compliance with applicable regulatory, accreditation, contractual, and internal requirements. The Associate Manager uses performance data and cross-functional partnerships to improve workflows, mitigate risk, strengthen provider experience, and maintain network readiness.

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

- Other duties as assigned

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

Bonus points:

- 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

- Experience leading credentialing operations for a health plan, health system, provider organization, or credentials verification organization

- Prior healthcare or insurance-related experience

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

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 fac