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Hi, we're Oscar. We're hiring an Associate to join our Network Contracting 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.
You will report to the 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.
If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.
You must reside in one of the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote
Pay Transparency:
The base pay for this role in the states of California, Connecticut, New Jersey, New York, & Washington is: $98,400 - $129,150 per year. The base pay for this role in all other locations 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 company's overall network adequacy, development & cost management objectives.
- 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 & fostering a collaborative & innovative 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 objectives, providing training & development opportunities, & fostering a collaborative & innovative 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 remediate 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 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
- Associates 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.
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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