Senior Network Specialist at Oscar Health In Other

Senior Network Specialist
Oscar Health // health insurance

Hi, we're Oscar. We're hiring a Senior Network Specialist to join our Provider Network team.

About the role

The Senior Network Specialist 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 & reimbursement rates, often involving complex contract terms & compliance with regulatory guidelines. The Senior Specialist also plays a role in recruiting new providers to the network, assisting with resolution of provider issues, & supporting cost-saving initiatives.

You will report into the Manager, Network Contracting.

Work Location:

This is a remote position. You must reside in Tennessee or Georgia. #LI-Remote

Pay Transparency:

The base pay for this role is: $69,120.00- $90,720.00 per year. You are also eligible for employee benefits, monthly vacation accrual at a rate of 10 days per year. And an annual performance bonus.

Responsibilities

Support & direct involvement with negotiating contracts with assigned healthcare providers, focusing on favorable terms & compliance with organizational standards, strategy, & regulatory requirements.
Conducts comprehensive reviews & analyses of assigned provider contracts, identifying areas for improvement & optimization.
With support from your leader, utilizes data & analytics of provider financial issues & competitor strategies to inform negotiation & contracting decisions.
Supports implementation of contracting policies & workflows; monitors & ensures effective & efficient contracting processes are in place.
With input & support from their leader, monitor & analyze key metrics for network performance, cost, & provider satisfaction, & provide reports to leadership for assigned provider accounts.
Ensure & professional resolution of provider issues And build relationships with healthcare providers to ensure network stability & quality.
Help track & analyze measurements to monitor provider satisfaction & operational efficiency.
Support provider onboarding, training, & resource distribution..
Collaborate with internal teams such as Claims, Credentialing, & Contracting to resolve routine provider issues.
Participate in process improvement programs to increase workflows & enhance provider experience.
Compliance with all applicable laws & regulations.
Other responsibilities as assigned.
Up to 20% travel required.

Qualifications

2+ years of experience in provider network operations or contracting or provider services
1+ years of experience in Health Insurance (Individual and/or Medicare Advantage) and/or Healthcare industry
1+ years experience navigating & organizing large data sets such as claim files & provider rosters

Bonus

Associate's degree or equivalent professional working experience.

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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.

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