Manager, Network Contracting at Oscar Health In Other

Manager, Network Contracting
Oscar Health // health insurance

Hi, we're Oscar. We're hiring a Manager, 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 Manager, Network Contracting is responsible for leading a team of direct reports focused on negotiating, executing, & analyzing contracts with large, national and/or complex healthcare group/system providers, focusing on maintaining & enhancing the provider network while meeting accessibility, quality, & financial goals. The Manager, Network Contracting handles dispute resolution & settlement negotiations, ensuring compliance with company standards & regulatory requirements. This role leverages & working knowledge of provider financial issues to optimize contracts, & collaborates with providers, hospitals & health systems to achieve successful contracting outcomes, all while supporting cost-saving initiatives & the growth of the provider network for a defined market or region.

You will report to the.Director, Network Contracting & Services

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: $108,000.00 - $141,750.00 per.year The base pay for this role in all other locations is: $97,200.00 - $127,575.00 per year You are also eligible for employee benefits, monthly vacation accrual at a rate of 15 days per year. And an annual performance bonus.

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.
Oversee a small team of contracting associates & specialists, facilitating guidance, & mentorship by setting strategic objectives, monitoring team performance, providing training & development opportunities, & fostering a collaborative & innovative work environment.
Conducts comprehensive reviews & analyses of assigned provider contracts, identifying areas for improvement & optimization.
Utilizes data & analytics of provider financial issues & competitor strategies to inform negotiation & contracting decisions & to support the team in doing so.
Key player in implementation of contracting policies & workflows; monitors & ensures effective & efficient contracting processes are in place.
Monitor key metrics for network performance, cost, & provider satisfaction, & provide reports to leadership for assigned accounts.
Ensure you & your team are providing resolution of provider issues related to contract terms, reimbursement, & network participation.
Build relationships with healthcare providers to ensure network stability & quality.
Ability to travel up to 50%
Compliance with all applicable laws & regulations
Other duties as assigned

Qualifications

4+ years in healthcare network contracting, including executing contracts with health systems, hospitals or national providers, provider relations, or network management

2+ years of experience managing complex Provider Network strategies & negotiating complex contracts

2+ years of people management experience
2+ years experience in Health Insurance (Individual and/or Medicare Advantage) and/or Healthcare industry

Bonus Points

Bachelor'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.

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.