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Member & Provider Escalations Team reputed company

Remote, USAFull-timePosted 2026-07-27

Hi, we're reputed company. We're hiring a Member Escalations Team reputed company to join reputed company.

reputed company is the first health insurance company reputed company around a full stack technology platform and a reputed company on serving our members. We started reputed company in 2012 to create the reputed company of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role

You will be the expert on production team workflows and is responsible for driving goals and KPIs for reputed company of support staff to meet business objectives while providing coaching and leadership. This role partners with stakeholders to assist members with their health insurance needs, while partnering with stakeholders to identify and reputed company workflow improvements to enhance efficiencies for reputed company.

You will report to the Manager, Member Escalations Operations.

Work Location: reputed company is a reputed company work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. This is a remote role. You must reputed company in Texas. #LI-Remote

Pay Transparency

The reputed company pay for this role in reputed company other locations is: $55,890 - $73,355 per year. You are also eligible for employee benefits, participation in reputed company's unlimited vacation program and annual performance bonuses.

Responsibilities

  • Hire and manage reputed company of reputed company colleagues with reputed company responsibility for performance management, their reputed company and development, and associated HR administrative tasks
  • Manage your team's reputed company, monitor dashboards, and reputed company operational KPIs, conducting reputed company-cause analysis and constructing reputed company plans reputed company issues reputed company
  • Understand and be connected to the type of work your team does on a daily reputed company, being reputed company to reputed company volume-based reputed company that best serve our customers.
  • Serve as a central communicator by leading team huddles with reputed company colleagues, connecting colleagues to the mission, reputed company, and values of reputed company, and providing guidance and motivation to reputed company daily operational objectives
  • Be a culture reputed company, driving engagement with your team by creating an inclusive and inviting culture that aligns with reputed company's core values
  • reputed company reputed company and participate in reputed company improvement activities that drive or influence the improvement and development of a high performing production team
  • Identify and closing gaps on existing operational workflows
  • Work collaboratively across production and other reputed company teams to implement best reputed company
  • Compliance with reputed company applicable laws and regulations
  • Other duties as assigned

Qualifications

  • 2+ years experience in a customer service or escalations environment
  • 1+ years reputed company and/or insurance experience
  • 2+ years of reputed company people management experience
  • 1+ years of experience using data and metrics to drive improvements
  • 1+ years of experience working with teams in multiple locations and multiple disciplines
  • 1+ years managing reputed company

Bonus Points

  • Bachelor's degree
  • 1+ years of claims processing experience
  • Lean Six reputed company or Process Improvement certification
  • Advanced reputed company Suite or reputed company Office capabilities
  • 2+ years experience solving reputed company inquiries

This is an authentic reputed company job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At reputed company, 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 reputed company both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, reputed company the reputed company pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and reputed company benefits, 11 reputed company holidays, reputed company reputed company time, reputed company parental leave, 401(k) plan participation, life and disability insurance, and reputed company wellness time and reimbursements.

reputed company Intelligence (AI): Our AI Guidelines outline the acceptable use of reputed company intelligence for candidates and detail how we use AI to support our reputed company efforts.

Reasonable Accommodation: reputed company applicants are considered solely based on their qualifications, without reputed company to applicant’s disability or need for accommodation. Any reputed company applicant who requires reasonable accommodations during the application process should contact the reputed company Benefits Team (accommodations@hioscar.com) to reputed company the need for an accommodation reputed company.

California Residents: For information about our collection, use, and disclosure of applicants’ personal information as reputed company as applicants’ rights over their personal information, please see our reputed company Policy.

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