Associate, Network Contracting

1 hour, 39 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 network and market leadership to support network adequacy, development, and cost management goals.
  • Manage and negotiate contracts with healthcare providers, including hospital and health system partners and large ancillary groups.
  • Review assigned provider contracts to identify opportunities for improvement and optimization.
  • Use provider financial data and competitor information 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 network communication.
  • Monitor assigned networks for compliance with standards and develop corrective action plans to address deficiencies.
  • Ensure contracting activities comply with all applicable laws, regulations, and organizational requirements.
  • Perform additional duties as assigned.

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 for market 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 work remotely from one of the approved states: Arizona, California, Florida, Illinois, Iowa, Kansas, Michigan, Mississippi, Missouri, New York, Nebraska, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, or Virginia.
  • Willingness to travel up to 20% for client meetings.

Benefits

  • Base salary of $96,876 - $127,149 per year for New York and California, or $87,560 - $114,434 per year for other locations.
  • Eligible for employee benefits.
  • Unlimited vacation program.
  • Annual performance bonuses.
  • Medical, dental, and vision insurance.
  • 11 paid holidays and 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

Apply Now

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