Job Description
Hi, we're Oscar. We're hiring a Utilization Review Processor to join our Utilization Review team.
Oscar is the first health insurance company built around a full stack technology platform and a 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 solve complex issues or concerns impacting our providers and the members they serve. You will communicate with our Providers and work with teams across Oscar to provide efficient and thorough resolution by providing world class service. You will understand the importance of a world-class member experience when seeking care and actively identifies barriers to member care and member and provider satisfaction to solve for the future. You will manage their workload effectively by setting timely outreaches and actively communicating roadblocks to their team.
You will report to the Utilization Review Lead.
Work Location:
Oscar is a blended work ...
The Real Dill ☘️
Oscar Health might be one of the biggest insurance "startups" you might not have heard about in clinic - they IPO'd in 2021 on the New York Stock Exchange and hired insurance giant Aetna's ex-CEO in 2023. Primarily insuring rural, underserved markets, Oscar Health is still loss-making, but is making 2024's goal of profitability known. There's definitely a need in this space for quality insurance options for rural and underserved communities - here's to hoping Oscar Health changes the game for millions of Americans. (November 2023)
Jon Lee, PT, DPT, OCS, FAAOMPT, MBA
Pickle co-founder
About Oscar Health
Health insurance company built around a full stack technology platform
MissionTo make a healthier life accessible and affordable for all
Wow FactorGrowing its HolaOscar program for Hispanic & Latino communities, reporting a 72 net promoter score, about 184% above the industry average
Pickle is not affiliated with listed companies unless otherwise noted.
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