Manager, Network Contracting (Northeast Region)

7 hours, 36 minutes ago
Full-time
Mid Level
Sales and Business Development
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 network contracting strategies aligned with network adequacy, development, and cost-management objectives.
  • Manage and negotiate contracts with hospitals, health systems, national providers, and other assigned healthcare providers.
  • Lead, mentor, and develop a team of contracting associates and specialists, including setting objectives and monitoring performance.
  • Review and analyze provider contracts to identify improvement and optimization opportunities.
  • Use provider financial data and competitor strategies to guide negotiation decisions.
  • Implement and monitor contracting policies, workflows, and efficient contracting processes.
  • Track network performance, costs, and provider satisfaction metrics and report results to leadership.
  • Oversee timely resolution of provider issues involving contract terms, reimbursement, and network participation.
  • Build and maintain provider relationships that support network stability and quality.
  • Ensure compliance with applicable laws, regulations, and company standards.

Requirements

  • 4+ years of experience in healthcare network contracting, provider relations, or network management, including contracts with health systems, hospitals, or national providers.
  • 2+ years of experience managing complex provider network strategies and negotiating complex contracts.
  • 2+ years of people management experience.
  • 2+ years of experience in health insurance, including Individual and/or Medicare Advantage, and/or the healthcare industry.
  • Bachelor’s degree or equivalent professional experience preferred.
  • Ability to reside in New Jersey, New York, Pennsylvania, or Virginia.
  • Ability to work remotely with frequent local travel and occasional travel for team meetings or company events.

Benefits

  • Base salary of $111,780–$146,711 in New York and New Jersey, or $100,602–$132,040 elsewhere.
  • 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.
  • Paid wellness time and wellness reimbursements.

Interested in this position?

Apply directly on the company website

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