Events  Deals  Jobs 
    Sign in  
 
 
 
JOB DETAILS
 

Hi, we're Oscar. We're hiring a Pre-Service Contracting Representative to join our Contracting Operations 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

Thousands of our members will need to see a doctor outside of Oscar's network for emergent or specialized care. In these cases, Oscar's Out-of-Network Contracting team processes & negotiates contracts for a single member to receive care from an out-of-network provider. Because members often need this care urgently, the Pre-Service Contracting team is a fast-paced, cost-conscious & fastidious team.

As a Pre-Service Contracting Representative, you will help ensure that these contracts are executed quickly & carefully. You will process contracts for our members to receive care from out-of-network providers, reach out & follow up to get these contracts signed, & input terms of the signed contract to our claims team so that providers are paid properly. You will ensure timely & accurate contracting for approved out-of-network care, & connect providers to more senior Contracting Specialists when they have questions or wish to negotiate contracts.

You will report to the Associate Operations Manager. This is a remote role, you will work remotely in one of the following states: Arizona, Florida, Georgia, Illinois, Maryland, Massachusetts, Michigan, New Jersey, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Utah, Virginia, or Washington. Note, this list of states is subject to change.

Responsibilities

  • Develop a comprehensive understanding of the contract process
  • Contribute to the reduction of the daily Single Case Agreement (SCA) Contracting inventory
  • Become an in-house expert on SCA contracting processes
  • Ensure that all SCA contracts are turned around within required timelines
  • Contribute to financial goals to keep SCA rates reasonable

Qualifications

  • 3+ years of professional working experience or Bachelor's Degree in Business, Finance, Health Care Administration or equivalent
  • Experience using Excel or Google Sheets

Bonus Points

  • Experience in the Healthcare Industry
  • Experience working within a growing startup
  • Working knowledge of Mac & G-Suite

Life at Oscar

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.

We encourage our members to care for their whole selves, & we encourage our employees to do the same with comprehensive medical benefits, generous paid-time off, paid parental leave, retirement plans, company social events, stocked kitchens, wellness programs, & volunteer opportunities.

Reasonable Accommodation

Oscar applicants are considered solely based on their qualifications, without regard to applicant's 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.

Pay Transparency Policy

Oscar ensures that you won't be discharged or discriminated against based on whether you've inquired about, discussed, or disclosed your pay. Read the full policy here.

 
 
 
Apply To Job
 
 
 
 
 
© 2021 GarysGuide      About    Feedback    Press    Terms