# Specialist, Admin Complaints, Grievances & Appeals at Oscar AI

- Company: Oscar AI
- What the company does: Oscar is an AI operations analyst that watches every location 24/7, catching revenue leaks, labor inefficiencies, and compliance risks, then delivering the alerts, reports, and action plans your team needs to fix them fast. Backed by Techstars.
- Company website: https://oscar.ai
- Type: Startups (AI role)
- Level: Mid level
- Location: Atlanta, Georgia, United States
- Work setup: On-site
- Pay: $46K to $61K base salary per year (USD)
- Posted: 2026-09-17
- Apply by: 2026-11-01
- Apply: https://job-boards.greenhouse.io/oscar/jobs/8202922
- Page: https://www.1752.vc/careers/jobs/oscar-ai-specialist-admin-complaints-grievances-and-appeals/

## About the role

The CGA Liaison is responsible for the comprehensive management and resolution of complex administrative member or provider grievances and appeals. You will serve as a subject matter expert on non-clinical case resolution, focusing on sensitive member issues such as claims concerns, access barriers, benefits concerns and complex service inquiries. You will drive the resolution process to meet regulatory standards set by the health plan's governing bodies, while promoting member satisfaction and retention.

## What they're looking for

- 1+ years of professional experience in a regulated industry, such as healthcare, insurance, or finance
- 1+ years of experience independently managing a demanding caseload with multi-step workflows, from initial intake through investigation, resolution, and final documentation
- 1+ years of experience with directly managing escalated customer, member or provider cases
- 1+ years of experience drafting and issuing formal written communication to member and providers
- 1+ years of experience working in a structured, workflow-driven, environment

Tags: Member Care & Services