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

Oscar is the first health insurance company built around a full stack technology platform & a relentless 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 & Services is responsible for managing contracts with key healthcare providers in Oscar's network (hospital/health systems & individual provider groups) 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; executing the local network strategy; & ensuring providers across our service area have the information & support they need to provide best-in-class member care.

You will report into the Senior Manager, Network Contracting.

Work Location: This is a remote position based in the field, open to candidates who reside in: Florida, Georgia, North Carolina, South Carolina or Tennessee. Your daily work will involve a blend of work from your home office & travel for client meetings. Occasional travel may be required for team meetings & company events. #LI-Remote

Travel up to 25%

Pay Transparency: The base pay for this role is: $88,560 - $116,235 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program & 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 the companys overall network adequacy, development & cost management objectives.
  • Manage & negotiate contracts with assigned healthcare providers, focusing on favorable terms & compliance with organizational standards & regulatory requirements.
  • 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.
  • 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 remediate deficiencies.
  • Compliance with all applicable laws & regulations
  • Other duties as assigned

Requirements:

  • 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 running financial analyses on a markets or product lines, & working cross-functionally to support driving improvement opportunities
  • 1+ years experience navigating & organizing large data sets such as claim files & provider rosters

Bonus points:

  • Associate's degree or equivalent professional working experience

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.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates & detail how we use AI to support our recruiting efforts.

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.

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 Privacy Policy.

 
 
 
 
 
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