Licensing & Credentialing Coordinator
Hi, we're Oscar. We're hiring a Licensing & Credentialing Coordinator to join our Virtual Care 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:
You will oversee cross-license tracking of all Oscar Medical Group providers across all service lines (primary care, urgent care, and health assessments). You will work with providers and state licensing entities directly on licensing applications and submissions as aligned with the licensing support strategy across all OMG operational states. You will support credentialing of new Oscar Medical Group providers with Oscar Medical Group, Oscar Management Corporation, and Oscar Health Insurance.
Under the Director of Practice Management & Transformation, the provider operations team manages onboarding, credentialing, rosters, provider staffing and scheduling, licensing, and other essential functions of maintaining and working with a staff of providers within a medical practice. You will also contribute on an as-needed basis to other programs across our virtual patient care service lines.
This is a remote / work-from-home role. You must reside in one of the following states: Arizona, California, Connecticut, Florida, Georgia, Illinois, Maryland, Massachusetts, Michigan, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, Tennessee, Texas, Utah, Virginia, or Washington. Note, this list of states is subject to change. #LI-Remote
You will report to the Senior Onboarding & Credentialing Specialist.
Primary Responsibilities:
- Manage OMG provider master licensing tracker and ensure information is accurate and kept up-to-date
- Keep track and log provider licenses in provider files
- Work with identified providers for licensing application and submission across OMG-operational states as identified by licensing strategy
- Keep current provider license in-progress tracker updated for medical directors and other service line leaders
- Communicate with and work with providers on upcoming expirations and license renewals
- Input and verify information in licensing system for real-time monitoring
- Review flags from real-time monitoring and licensing verification system
- Ensure licensing information is updated real-time in Oscar provider profiles and within Oscar EMR
- Collaboration with Onboarding & Development Senior Specialist with credentialing of new providers and tracking within Oscar Health credentialing system (including malpractice enrollment)
- Track and submit provider license fee renewal reimbursements
- Support APP supervision tracking
- Review requests that require immediate assistance
Basic Qualifications:
- High school diploma or equivalent (GED)
- At least 1+ year of healthcare experience in multi-provider clinics
- Experience with Google Sheets or Microsoft Excel
Preferred Qualifications:
- At least 2+ years of provider (MD, DO, NP, PA) licensing application & submission experience across at least FL, TX, NY, GA and/or CA
- At least 2+ years experience in real-time license monitoring and license verification
- Experience with medical group credentialing.
This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.
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.
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.
To protect the health and safety of our employees, we require any employee conducting in-person work* to be fully vaccinated against COVID-19 by their start date. If you are unable to be vaccinated due to medical or protected religious reasons, please reach out to our Benefits team at accommodations@hioscar.com to submit an accommodations request.
*Note: In-person work includes: employees required to work from our offices, employees conducting sales work in the field and employees conducting at-home or in-person visits with members.
Oscar is a health insurance company leveraging a full-stack technology platform to deliver personalized healthcare experiences. It prioritizes member services, aiming to create a seamless, supportive insurance experience akin to having a trusted family doctor. With a focus on ethical practices, Oscar targets individuals who seek a more responsive and customized approach to health insurance.
- Founded
- Founded 2001
- Employees
- 201-500 employees
- Industry
- Professional Services