Senior Specialist, Network Contracting

Remotedxb; Dubai; On-site; AED 90,000 - 150,000; Full time

Job summary

Oscar is seeking a results-driven professional to support our provider network operations in Dubai. The role focuses on negotiating SCAs, reviewing provider contracts, and leveraging data to inform contracting strategies and cost management.

Ideal candidates will have 2+ years in provider network roles, 1+ years in health insurance, and experience handling large data sets. Collaboration with Claims and Credentialing teams is essential.

Qualifications

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

Responsibilities

• Negotiate Single Case Agreements (SCAs) with healthcare providers.
• Conduct reviews and analyses of assigned provider contracts.
• Utilize data and analytics of provider financial issues to inform decisions.
• Support implementation of contracting policies and workflows.
• Monitor and analyze key metrics for network performance, cost, and provider satisfaction.
• Ensure timely and professional resolution of provider issues.
• Build and maintain relationships with healthcare providers.
• Support provider onboarding, training, and resource distribution.
• Collaborate with Claims, Credentialing, and Contracting teams.
• Participate in process improvement initiatives.

Skills

Provider network operations

Contracting

Data analysis

Education

Associate's degree or equivalent

Job description

About the Company

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

Responsibilities

• Negotiate Single Case Agreements (SCAs) with healthcare providers to build and maintain a robust network
• Conduct comprehensive reviews and analyses of assigned provider contracts
• Utilize data and analytics of provider financial issues and competitor strategies to inform decisions
• Support implementation of contracting policies and workflows
• Monitor and analyze key metrics for network performance, cost, and provider satisfaction
• Ensure timely and professional resolution of provider issues
• Build and maintain positive relationships with healthcare providers
• Support provider onboarding, training, and resource distribution
• Collaborate with internal teams such as Claims, Credentialing, and Contracting
• Participate in process improvement initiatives

Requirements

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

Preferred Qualifications

• Associate's degree or equivalent professional working experience