<p>Hi, we're Oscar. We're hiring an Associate Manager, Credentialing Operations to join our Credentialing Team.</p> <p>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.</p> <p><strong>About the role:</strong></p> <p>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.</p> <p>You will report into the Senior Manager, Provider Operations Credentialing.</p> <p><strong>Work Location:</strong> This position is fully remote and open to candidates residing in the U.S., <strong>excluding</strong> Alaska; Delaware; Hawaii; Louisiana; Montana; North Dakota; Oklahoma; West Virginia; Wyoming; and U.S. Territories. Daily work is completed from your home office, with occasional travel required for team meetings and company events. #LI-Remote</p> <p><strong>Pay Transparency:</strong> The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $72,036 - $85,000 per year. The base pay for this role in all other locations is: $64,832 - $80,000 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.</p> <p><strong>Responsibilities:</strong></p> <ul> <li>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</li> <li>Lead the day-to-day credentialing operation, including workload planning, queue management, service-level performance, quality, and issue resolution</li> <li>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</li> <li>Conduct root-cause analysis on systemic issues and construct action plans to address</li> <li>Maintains, analyzes, and communicates reporting on assigned team KPIs. Track monthly and quarterly to meet departmental objectives</li> <li>Hire and manage a team of Oscar colleagues with direct responsibility for performance management, their growth and development, and associated HR administrative tasks</li> <li>Compliance with all applicable laws and regulations</li> <li>Other duties as assigned</li> </ul> <p><strong>Requirements:</strong></p> <ul> <li>3+ years of direct people management experience</li> <li>2+ years of experience in provider credentialing, re-credentialing, provider enrollment, or a closely related function</li> <li>3+ years of healthcare operations experience supporting high-volume production teams</li> <li>1+ year experience using data to drive decision making and continuous improvement</li> </ul> <p><strong>Bonus points:</strong></p> <ul> <li>Strong proficiency navigating Excel/Google Sheets, JIRA, and/or SQL</li> <li>Working knowledge of credentialing standards and requirements, including NCQA, CMS, state, and delegated-credentialing requirements </li> <li>Experience supporting process improvement initiatives cross-functionally </li> <li>Bachelor’s Degree</li> <li>Experience leading credentialing operations for a health plan, health system, provider organization, or credentials verification organization</li> <li>Prior healthcare or insurance-related experience</li> </ul><div class="content-conclusion"><p><span style="font-weight: 400;">This is an authentic Oscar Health job opportunity.</span></p> <p><span style="font-weight: 400;">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.</span></p> <p><strong>Pay Transparency: </strong><span style="font-weight: 400;">Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. </span><span style="font-weight: 400;">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.</span></p> <p><span style="font-weight: 400;"><strong>Artificial Intelligence (AI): </strong>Our <a href="https://oscarhealth.com/careers/ai-guidelines" target="_blank">AI Guidelines</a> outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.</span></p> <p><strong>Reaso