Care Navigation Guide at Oscar Health

, Arizona, United States -

Full Time

Start Date

Immediate

Expiry Date

03 Oct, 26

Salary

19.0

Posted On

05 Jul, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Care Coordination, Care Navigation, Provider Outreach, Google Workspace, Chromebook, Case Management, Provider Data Management, Documentation

Industry

Insurance

Description

Hi, we're Oscar. We're hiring a Care Navigation Guide to join our 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: You will be responsible for curating relative provider lists for our members who need readily available care. This requires regular engagement with our network providers to ensure that we are providing the most optimal options to our members. You will report into the Care Navigation Team Lead. Work Location: This is a remote role. You must reside in Arizona, Florida, Georgia, or Texas. Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. #LI-Remote Pay Transparency: The set pay rate for this role is $19.00 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year. Responsibilities: Outreach providers and facilities in an effort to provide relevant, refined and impactful personalized options that address the members' specific care requests while staying within SLA and meeting access standards. Lean on and collaborate with RNs for support on complex cases in order to effectively route care Discover and communicate trends to your leadership in order to improve processes and the member experience. Effectively utilize all resources to navigate complex cases. Confirm and update provider data. Properly document tickets. Stay current on all information, updates, processes, and workflows. Compliance with all applicable laws and regulations Other duties as assigned Requirements: 1+ years of experience with care coordination and navigation in a healthcare setting 1+ years of experience utilizing a Chromebook and Google Workspace Bonus points: Experience working in a collaborative environment 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. California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy.

Responsibilities

Curate provider lists and engage with network providers to ensure members receive optimal care options. Collaborate with RNs on complex cases and document trends to improve the member experience.