Arbitration and Mediation Specialist (Remote)

Hi, we're Oscar. We’re hiring an Arbitration and Mediation Specialist to join our Complaints Grievances & Appeals. 

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:

As an Arbitration and Mediation Specialist at Oscar, you will be responsible for maintaining various State Payment Dispute (Arbitration & Mediation) processes on behalf of Oscar. You will provide insight into market trends, and facilitate payments to mediators when necessary. You will work with internal Oscar teams ranging from Claims, SCA, P&L, and Accounts Payable with leadership exposure. You may also work with regulatory authorities, and Oscar’s vendors.

You will report into the CGA Appeals Team Lead. This is a remote role, you are able to work remotely in one of the following states: Arizona, California, Connecticut, Florida, Georgia, Illinois, Maryland, Massachusetts, Michigan, New Jersey, New Mexico, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, Tennessee, Texas, Utah, Virginia, or Washington. Note, this list of states is subject to change.

Responsibilities:

Manage Mediation and Arbitration processes for several states.

Monitor multiple email inboxes, ensuring timely responses and ticket creation.

Work with internal partners to identify, scope, and highlight potential risks both financial and regulatory in nature.

Develop insights into market trends and opportunities for workflow improvements 

Facilitate invoice payments and vendor setup with Accounts Payable team

Form and maintain working relationship with all partners to meet business objectives

Support your team lead or manager by guiding decisions and implementation on an ongoing basis

Understand relevant policies, and identify and measure the impact of any changes on our internal operations

Requirements:

1+ years of related work experience in healthcare, analytics, or operations

1+ years of experience in a fast paced environment, as an individual contributor.

Experience using Google Suite applications.

Bonus points:

Bachelor’s degree or equivalent experience.

Exposure to healthcare provider payment disputes (arbitration & mediation)

Life at Oscar: 

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.

We aim to make health care affordable and accessible for all, and apply this same vision to our perks and benefits, including: medical benefits, generous paid-time off, paid parental leave, retirement plans, company social events, stocked kitchens, wellness programs, and volunteer opportunities.