Associate, Network Contracting - Florida

13 hours, 50 minutes ago
Full-time
Junior
Business Intelligence
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

  • Implement contracting strategies under the direction of network leadership and in partnership with market leaders.
  • Manage and negotiate contracts with assigned healthcare providers, focusing on favorable terms and compliance with organizational and regulatory requirements.
  • Review and analyze provider contracts to identify opportunities for improvement and optimization.
  • Use provider financial data and competitor analysis to inform negotiation and contracting decisions.
  • Meet defined metrics and service-level agreements, including provider outreach and contract completion targets.
  • Collaborate with the provider services team on servicing, education, and communication with the provider network.
  • Monitor assigned networks for compliance with standards and develop corrective action plans to address deficiencies.
  • Support provider recruiting, network growth, and resolution of provider issues as needed.
  • Ensure compliance with all applicable laws and regulations.

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.
  • 1+ years of experience performing financial analyses on markets or product lines and working cross-functionally to drive improvement opportunities.
  • 1+ years of experience navigating and organizing large data sets such as claim files and provider rosters.
  • Associate's degree or equivalent professional working experience (preferred).
  • Ability to travel up to 25%.
  • Must reside in Florida for this remote, field-based role.

Benefits

  • Base salary of $87,188 to $114,434 per year.
  • Eligibility for annual performance bonuses.
  • Unlimited vacation program.
  • Medical, dental, and vision benefits.
  • 11 paid holidays.
  • Paid sick time.
  • Paid parental leave.
  • 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Interested in this position?

Apply directly on the company website

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