Specialist, Provider Operations

Hi, we're Oscar. We're hiring a Specialist to join our Oscar Medical Group Provider Operations 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.

The Provider Operations Specialist owns the end-to-end licensure and cross-license tracking for all Oscar Medical Group (OMG) providers across all service lines. Operating within standard procedures and practices, you will ensure 100% compliance with applicable laws and regulations by keeping all internal tracking and real-time monitoring systems instantaneously updated. You will work on problems of moderate scope, using strong problem-solving skills and collaborative internal and external relationships to maintain regulatory alignment, prevent licensure lapses, and support provider operations.

You will report into the Associate Manager of OMG Provider Operations

• →Own end-to-end licensure, cross-licensing, and primary source verification for all Oscar Medical Group (OMG) providers across all service lines, ensuring internal tracking systems stay fully compliant with state and federal regulations.
• →Oversee credential verification processes across state licensing boards to maintain high standards of data accuracy, regulatory compliance, and safety.
• →Proactively audit, track, and process initial and renewal license requests to eliminate coverage gaps, while managing reinstatements for any lapsed credentials.
• →Be the primary escalation point for complex licensing and supervision issues, delivering real-time guidance to Virtual Care Operations and leadership.
• →Oversee physician supervision assignments for newly hired and newly licensed APPs to maintain full compliance with state regulatory standards.
• →Research state board requirements to build compliant workflows for APP/physician collaborations, managing reassignments to align with operational and patient care needs.
• →Exercise sound judgment within standard operating procedures to resolve moderate-scope operational issues, analyzing key data for senior review and building stakeholder relationships aligned with corporate values.
• →Compliance with all applicable laws and regulations
• →Other duties as assigned

• 2+ years of experience with MS Excel or Sheets (including mathematical formulas, pivot tables, conditional formatting, data validation, nested IF statements).
• 2+ years of experience in Workforce Management, planning/scheduling, or operations.
• 1+ years of experience in a "customer-facing" role (even if the "customer" is internal).

• 1+ years of experience using WFM tools (NICE, InContact, Five9, Verint)
• 1+ years of experience in real-time workforce analysis