Care Coordinator

Hi, we're Oscar. We're hiring a Care Coordinator 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:

Care Coordinators serve as the central entry point and operational backbone for the Care Management department. They provide comprehensive care coordination for members, including those in Complex Care Management (CCM), Readmission Prevention (RAP), and those who do not fit into existing highly specialized programming. By taking ownership of administrative tasks, managing post-discharge transportation needs, and resolving inbound inquiries with a focus on one-call resolution, the Care Coordination Team allows our RN Care Managers to operate at the top of their license and helps members reach their optimum health goals in the most cost effective way.

Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia and 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: $17.91 - $23.51 per year. You are also eligible for employee benefits, monthly vacation accrual at a rate of 15 days per year.

Responsibilities:

• Be the primary bridge and entry point for all members and providers working with the Care Management team.
• Field inbound phone calls from members and providers, using optimized IVR pathways to ensure accurate routing and striving for one-call resolution.
• Manage care coordination for members across various programs, including CCM, TOC, and unassigned populations, across a variety of settings (hospitals, outpatient clinics, home care, supply vendors, dialysis) while maintaining strict confidentiality and the highest level of professionalism.
• Manage non-emergent medical transportation (NEMT) via UberHealth for members, strictly following program guardrails to decrease readmissions and improve health outcomes.
• Handle internal escalations to specialized departments such as Claims, Eligibility, and Care Navigation.
• Lead special projects as subject matter experts.
• Collaborate cross-departmentally to create a positive member experience.
• Perform all other tasks or additional responsibilities.

Requirements:

• 1+ years of experience with care coordination and navigation in a healthcare setting.
• Proficient computer literacy skills, with a strong aptitude for using EMRs (like Medecision) and telephony systems (like InContact) for seamless workflows.
• Excellent interpersonal communication skills including exceptional listening skills.

Bonus points:

• Certified as a Medical Assistant
• Bilingual
• Familiar with Health Insurance

This is an authentic Oscar Health job opportunity.

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.

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