Associate, Delegated Vendor Management

1 month ago
Full-time
Mid Level
Project and Program Management
Oscar

Oscar

Oscar is a health insurance company that offers plans for individuals, families, and small businesses. With a focus on humanizing health care through technology, design, and data, Oscar provides easy-to-understand bills, 24/7 access to doctors, and a p...

Insurance
1K-5K
Founded 2012

Description

  • Serve as an internal subject matter expert on delegated vendor program operations and consult with internal partners to drive strategic initiatives and process optimization.
  • Manage daily operations for delegated dental and vision vendor contracts, including triage and resolution of member and provider issues.
  • Implement contracting strategies in partnership with Network Director, Senior Manager, and Market Leaders to support network adequacy, development, and cost management objectives.
  • Use data and competitor analytics to inform negotiation and contracting decisions.
  • Facilitate guidance, mentorship, and training for junior team members to reinforce strategic objectives and promote a collaborative work environment.
  • Support implementation and continuous improvement of policies and workflows and meet defined metrics and SLAs (including provider outreach and contract completion).
  • Collaborate with internal clinical and claims teams to triage and manage issues related to claims, members, and providers.
  • Support account management activities across the team, including deliverable tracking, report management, meeting minutes, and team organization.
  • Support financial operations such as budget forecasting and projections.
  • Ensure compliance with applicable laws and regulations and complete assigned administrative tasks as needed.

Requirements

  • 3+ years of experience in healthcare client management, healthcare consulting, provider healthcare contracting, healthcare operations, or a related field.
  • 2+ years of experience supporting provider network strategy development and negotiating provider contracts.
  • Experience with end-to-end project management.
  • Associate's degree or equivalent professional working experience (preferred).
  • 1+ years experience running financial analyses on markets or product lines and working cross-functionally to drive improvement opportunities (preferred).
  • 1+ years experience navigating and organizing large data sets such as claim files and provider rosters (preferred).
  • Must reside in Atlanta, Georgia (position is fully remote with potential for future hybrid presence).

Benefits

  • Base pay range: $87,188 - $114,434 per year.
  • Eligibility for employee benefits including medical, dental, and vision coverage.
  • Participation in Oscar's unlimited vacation program and paid wellness time and reimbursements.
  • Annual performance bonuses.
  • 11 paid holidays, paid sick time, and paid parental leave.
  • 401(k) plan participation and life and disability insurance.
  • Remote work (fully remote for Atlanta, GA residents)

Interested in this position?

Apply directly on the company website

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