[Remote] Member & Provider Care Specialist

Note: The job is a remote job and is open to candidates in USA. Oscar Health is a health insurance company focused on serving its members through a full stack technology platform. The Care Specialist will solve complex issues impacting providers and members, acting as a liaison and subject matter expert while managing case workflows and contributing to knowledge management. Responsibilities Handle inbound and outbound calls, secure messages and/or email communications with members or providers Manage queue work and and assigned caseload through efficient dashboard management Identify, investigate, and resolve issues within determined SLAs Collaborate with colleagues, Experts, and Leads to identify trends and roadblocks Utilize internal tools and resources seamlessly Effectively communicates findings and resolutions with providers and internal departments Support Member and Provider Services Representatives with complex issues, workflows, and training Escalate updates or incorrect information in the internal knowledge management system for Member and Provider Services Partner with production teams across the LifeCycles to improve the member and provider experience Compliance with all applicable laws and regulations Other duties as assigned Skills 1+ years in customer support, healthcare, tech and/or related field Experience in a fast-paced environment 6 + months of member and customer service experience 1+ year of escalations experience in a customer service environment 1 + years of claims experience Bilingual Spanish Bachelor's degree High school diploma or GED Benefits Medical, dental, and vision benefits 11 paid holidays Paid sick time Paid parental leave 401(k) plan participation Life and disability insurance Paid wellness time and reimbursements Company Overview Oscar is a health insurance company that offers individual and family plans, medicare advantages, and small group products. It was founded in 2012, and is headquartered in New York, New York, USA, with a workforce of 1001-5000 employees. Its website is Company H1B Sponsorship Oscar Health has a track record of offering H1B sponsorships, with 2 in 2026, 19 in 2025, 24 in 2024, 22 in 2023, 36 in 2022, 13 in 2021. Please note that this does not guarantee sponsorship for this specific role.