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Oscar Health // health insurance
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Hi, we're Oscar. We're hiring a Associate, Network Contracting to join our Network team.

Oscar is the first health insurance company built around a full stack technology platform & a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselvesone that behaves like a doctor in the family.

About the role

The Associate, Network Contracting is responsible for negotiating & managing contracts with healthcare providers (hospital/health system & individual) to build & maintain a robust network in assigned market/region; while also ensuring access to quality care & optimizing costs by analyzing provider performance & negotiating reimbursement rates, often involving complex contract terms & compliance with regulatory guidelines. The Associate also supports network growth & recruiting efforts by engaging with prospective providers directly; assisting with resolution of provider issues; supporting cost- saving initiatives; assisting with the design & execution of the local network strategy; & ensuring providers across our service area have the information & support they need to provide best-in-class member care.

Travel required will be up to 15%.

You will report to the Senior Manager, Network Contracting

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture & our mission.

This is a hybrid role in our New York office. You will work part of the time in the office & part of the time remote / work-from-home. #LI-Hybrid

Pay Transparency:

The base pay for this role is $98,400 - $129,150 per. year. You are also eligible for employee benefits, monthly vacation accrual at a rate of 15 days per year. And annual performance bonuses.

Responsibilities

  • Implement contracting strategies under the direction of Network Director and/or Senior Manager & in partnership with Market Leaders that align with our overall network adequacy, development & cost management goals.
  • Manage & negotiate contracts with assigned healthcare providers, focusing on favorable terms & compliance with organizational standards & regulatory requirements.
  • Serve as a Subject Matter Expert to a small team of contracting specialists and/or analysts, providing guidance & encouraging a collaborative & work environment.
  • Supports comprehensive reviews & analyses of assigned provider contracts, identifying areas for improvement & optimization.
  • Utilizes data & analytics of provider financial issues & competitor strategies to support informing negotiation & contracting decisions.
  • Facilitates guidance & mentorship of more junior team members by reiterating strategic goals, providing training & development opportunities, & promoting a collaborative & work environment.
  • Supports implementation of contracting policies & workflows; supports identifying when effective & efficient contracting processes need improvement Meet defined metrics & SLAs including but not limited to provider outreach & contract completion.
  • Collaborate with the provider services team regarding the servicing, education & communication to our provider network.
  • Monitor assigned networks to gauge compliance with standards, developing corrective action plans with network contracting & market leadership to improve deficiencies.
  • Compliance with all applicable laws & regulations.
  • Other duties as assigned.

Qualifications

  • 3+ years of experience in healthcare client management, healthcare consulting, or provider healthcare contracting, healthcare operations, or a related field
  • 2+ years of experience supporting provider network strategy development & negotiating provider contracts
  • 1+ years experience navigating & organizing large data sets such as claim files & provider rosters
  • 1+ years experience running financial analyses on a markets or product lines, & working cross-functionally to support improving opportunities
  • Able to travel up to 15%.

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves & find both belonging & support. We're on a mission to change health care -- an experience made whole by our unique backgrounds & perspectives.

Pay Transparency:  Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, & experience. Full-time employees are eligible for benefits including: medical, dental, & vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life & disability insurance, & paid wellness time & reimbursements.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicants disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

Artificial Intelligence (AI) Guidelines: Please see our AI Guidelines for the acceptable use of artificial intelligence during the interview process at Oscar.

California Residents: For information about our collection, use, & disclosure of applicants personal information as well as applicants rights over their personal information, please see our Notice to Job Applicants.

 
 
 
 
 
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