CGA Production Support Specialist

United States·Atlantamid

OtherSupport Specialist

0 views0 saves0 applied

Apply Now

Quick Summary

Key Responsibilities

You will manage,

Technical Tools

OtherSupport Specialist

Hi, we're Oscar. We're hiring a CGA Production Support Specialist to join our Complaints Grievances and Appeals 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

~1 min read

The CGA Liaison, Member Services (Production Support Specialist) solves complex member issues by applying the technical tools across the production operation. You will use key skills and objectivity to review inventory, identify trends and report out to leadership daily to maintain compliance with internal and external regulations and timeframes.

You will report into the CGA Team Lead.

Responsibilities

~1 min read

→You will manage, or escalate complex issues that are not solved using conventional workflows
→Manage internal or external escalated transactions and communicate with appropriate parties for resolution mindful of Service level agreements
→Conduct workflow reviews and provide feedback to improve internal processes and department quality
→Support specialist by supporting complex issues that are not solved using conventional workflows
→Be a point person for team members in other areas of the business to improve feedback loops and trend member issues
→Support service ops reps through a variety of communication venues
→Compliance with all applicable laws and regulations
→Other responsibilities as assigned

Requirements

~1 min read

2+ years previous work experience in a fast-paced volume-based environment
2+ years strong quantitative or analytical skills focused on solving problems
High school diploma or GED

Nice to Have

~2 min read

Bachelor's Degree
Advanced Google Suite or Microsoft Office capabilities or willingness to learn
Advanced Operations Certificate (Lean Six Sigma or similar)
Previous project oversight experience
Proficiency navigating and working in multi-system environment
Prior career practice relating to conflict management and providing feedback to others
Strong verbal and written communications, and interpersonal interactions

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.