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

Work Location: This position is fully remote and open to candidates residing in the U.S., excluding Alaska; Delaware; Hawaii; Louisiana; Montana; North Dakota; Oklahoma; West Virginia; Wyoming; and U.S. Territories. Daily work is completed from your home office, with occasional travel required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role is: $20.00 - $30.00 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year

• 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

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