Network Contracting & Services Associate

name; Deutschland; Remote; EUR 76.000 - 111.000; Vollzeit

Benefits dieser Stelle

Medical, dental, vision benefits

11 paid holidays

401(k) plan

Performance bonuses

Paid time off

Zusammenfassung

Oscar Health is seeking an Associate, Network Contracting to build and manage contracts with hospital systems and individual providers. You will analyze provider performance, negotiate reimbursement terms, and support cost-saving initiatives while ensuring access to quality care.

Reporting to the Director, Network Contracting & Services, this remote role requires travel for client meetings and collaboration with market leaders across states.

Qualifikationen

• 3+ years of experience in healthcare client management, healthcare consulting, or provider contracting.
• 2+ years supporting provider network strategy development and negotiating contracts.
• 1+ years running financial analyses on a market or product lines, and cross-functional collaboration.
• 1+ years navigating and organizing large data sets such as claim files and provider rosters.

Aufgaben

• Implement contracting strategies aligned with network strategy and cost management objectives.
• Negotiate and manage contracts with healthcare providers, ensuring compliance with standards and regulations.
• Serve as SME to a small team, providing guidance and fostering collaboration.
• Analyze provider contracts to identify areas for improvement and cost optimization.
• Utilize data on provider finances and competitor strategies to guide negotiations.
• Mentor junior team members and support process improvements and training.
• Support policy implementation, workflows, and meeting defined metrics and SLAs.
• Collaborate with provider services to educate and communicate with the provider network.
• Monitor networks for compliance and develop corrective action plans.

Kenntnisse

Healthcare contracting

Healthcare client management

Data analysis

Cross-functional collaboration

Regulatory compliance

Ausbildung

Associate's degree

Jobbeschreibung

About the role

The Associate, Network Contracting is responsible for negotiating and managing contracts with healthcare providers (hospital/health system and individual) to build and maintain a robust network in assigned market/region; while also ensuring access to quality care and optimizing costs by analyzing provider performance and negotiating reimbursement rates, often involving complex contract terms and compliance with regulatory guidelines. The Associate also supports network growth and recruiting efforts by engaging with prospective providers directly; assisting with resolution of provider issues; supporting cost- saving initiatives; assisting with the design and execution of the local network strategy; and ensuring providers across our service area have the information and support they need to provide best-in-class member care.

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

Work Location

This is a remote position based in the field, open to candidates who reside in Arizona, Illinois, Iowa, Kansas, Michigan, Missouri, Nebraska, New Jersey, New York, Ohio, Pennsylvania, Texas or Virginia. Your daily work will involve a blend of work from your home office and frequent local travel for client meetings. Occasional travel may be required for team meetings and company events.

Pay Transparency

Pay Transparency: The base pay for this role in the states of New Jersey and New York is: $96,876 - 127,149 per year. The base pay for this role in all other locations is: $87,560 - $114,434 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities

• Implement contracting strategies under the direction of Network Director and/or Senior Manager and in partnership with Market Leaders that align with the company’s overall network adequacy, development and cost management objectives.
• Manage and negotiate contracts with assigned healthcare providers, focusing on favorable terms and compliance with organizational standards and regulatory requirements.
• Serve as a Subject Matter Expert to a small team of contracting specialists and/or analysts, providing guidance and fostering a collaborative and innovative work environment.
• Supports comprehensive reviews and analyses of assigned provider contracts, identifying areas for improvement and optimization.
• Utilizes data and analytics of provider financial issues and competitor strategies to support informing negotiation and contracting decisions.
• Facilitates guidance and mentorship of more junior team members by reiterating strategic objectives, providing training and development opportunities, and fostering a collaborative and innovative work environment.
• Supports implementation of contracting policies and workflows; supports identifying when effective and efficient contracting processes need improvement Meet defined metrics and SLAs including but not limited to provider outreach and contract completion.
• Collaborate with the provider services team regarding the servicing, education and communication to our provider network.
• Monitor assigned networks to gauge compliance with standards, developing corrective action plans with network contracting and market leadership to remediate deficiencies.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements

• 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 and negotiating provider contracts
• 1+ years experience running financial analyses on a markets or product lines, and working cross-functionally to support driving improvement opportunities
• 1+ years experience navigating and organizing large data sets such as claim files and provider rosters

Bonus points

• Associate's degree or equivalent professional working experience.

This is an authentic Oscar Health job opportunity.

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 and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Artificial Intelligence (AI)

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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 ([e-mail]) to make the need for an accommodation known.

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Pay Transparency

Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.