Associate, Network Contracting - Florida

1 hour, 34 minutes ago
Full-time
Junior
Operations
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 in partnership with market leadership to support network adequacy, development, and cost management objectives.
  • Manage and negotiate contracts with assigned healthcare providers, ensuring favorable terms and regulatory compliance.
  • 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 performance metrics and SLAs, including provider outreach and contract completion targets.
  • Collaborate with the provider services team on provider servicing, education, and communication.
  • Monitor assigned networks for compliance with standards and develop corrective action plans to address deficiencies.
  • Support network growth and recruiting efforts by engaging prospective providers and assisting with provider issue resolution.
  • Support cost-saving initiatives and help execute the local network strategy.

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 running 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.
  • Experience working with complex contract terms and compliance with regulatory guidelines.
  • Associate's degree or equivalent professional working experience (preferred).
  • Ability to travel up to 25%.
  • Must reside in Florida and work remotely from a home office with occasional travel for client meetings and team events.

Benefits

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

Interested in this position?

Apply directly on the company website

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