Full-Time

Claims Quality & Audit Trainer

Updated on 11/15/2024

Oscar Health

Oscar Health

1,001-5,000 employees

Health insurance using technology solutions

Fintech
Social Impact
Healthcare

Compensation Overview

$65.5k - $95.5kAnnually

+ Annual Performance Bonuses

Junior, Mid

Los Angeles, CA, USA + 2 more

More locations: Tempe, AZ, USA | New York, NY, USA

Hybrid role for candidates within commutable distance to New York City, Tempe, or Los Angeles; otherwise, fully remote.

Category
Customer Education & Training
Customer Experience
Customer Success & Support
Requirements
  • 2+ years end-to-end claims experience
  • 2+ years experience presenting to diverse audiences
  • 2+ years experience facilitating training/coaching in a production environment
  • Instructional Design Certification (Bonus)
  • Bachelor’s degree (Bonus)
  • Experience facilitating or building training (Bonus)
  • Experience working in a call center support function (Bonus)
  • Experience working in a regulated industry within healthcare (Bonus)
  • Claims auditing experience (Bonus)
Responsibilities
  • Facilitate instructor-led courses for claims audit teams
  • Monitor quality metrics on an ongoing basis
  • Collaborate with subject matter experts to source key content needed to facilitate trainings
  • Proactively audit and update training content, leveraging subject matter experts and learning feedback to ensure accuracy and effectiveness
  • Present auditor quality scores and provide feedback to the team
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Oscar Health provides health insurance plans for individuals, families, and small businesses, aiming to simplify the insurance experience through technology. Their services include 24/7 virtual care, allowing members to consult healthcare providers anytime, which is convenient for those needing immediate medical advice. Oscar also offers tools to help members find in-network doctors, hospitals, and pharmacies, enhancing access to care. Unlike traditional insurance companies, Oscar focuses on user engagement and digital accessibility, ensuring their services are inclusive for all, including people with disabilities. The company's goal is to make healthcare more accessible and affordable while maintaining high-quality care.

Company Stage

IPO

Total Funding

$1.6B

Headquarters

New York City, New York

Founded

2012

Growth & Insights
Headcount

6 month growth

2%

1 year growth

9%

2 year growth

5%
Simplify Jobs

Simplify's Take

What believers are saying

  • Oscar Health's aim to double its membership by 2027 indicates significant growth potential and market expansion.
  • The company's strong financial performance and profitability outlook for 2024 reflect robust business health.
  • Strategic partnerships, such as the one with Sanford Health Plan, enhance member engagement and technological integration.

What critics are saying

  • The competitive health insurance market requires continuous innovation to maintain a competitive edge.
  • Dependence on ACA policies and government regulations could pose risks if there are changes in healthcare laws.

What makes Oscar Health unique

  • Oscar Health leverages technology to simplify and humanize the insurance experience, setting it apart from traditional insurers.
  • Their 24/7 virtual care services provide immediate medical consultations, enhancing accessibility and convenience for members.
  • Oscar's focus on ACA-compliant plans and transparency in pharmacy benefits positions it uniquely in the market.

Help us improve and share your feedback! Did you find this helpful?

Benefits

Health insurance - That’s a given. Employees and their families receive incredible health insurance.

Financial benefits - A penny saved....we’re talking about a 401K plan, health savings accounts, and more.

Well @ Oscar - We care about your wellness with fitness classes and access to mental health support.

Work-Life Balance - We offer multiple time-off options, wellness days, and 10+ weeks of parental leave.

Learning & Development - We offer everything from mentorship to management training.