Associate Network Contracting

Oscar Health; Remote; USD 87,000 - 115,000; Full time

Job summary

A leading health insurance company is looking for an Associate in Network Contracting to handle provider contracts and ensure quality care. The ideal candidate has considerable experience in healthcare client management and contract negotiation. This fully remote role is based in Dallas, Texas, offering a competitive salary range of $87,560 - $114,434 annually, along with comprehensive benefits including vacation, health coverage, and retirement plans.

Benefits

Medical, dental, and vision benefits

Unlimited vacation program

401(k) plan participation

Annual performance bonuses

Qualifications

• 3+ years of experience in healthcare client management, consulting, or contracting.
• 2+ years of experience supporting provider network strategy and negotiating contracts.
• 1+ years of experience in financial analyses on markets or product lines.

Responsibilities

• Implement contracting strategies aligned with the company's objectives.
• Manage and negotiate contracts with healthcare providers.
• Support reviews and analyses of provider contracts for improvement.
• Utilize data to inform negotiation and contracting decisions.
• Meet metrics and SLAs regarding provider outreach.
• Collaborate with the provider services team for network communication.
• Monitor assigned networks for compliance.
• Ensure compliance with laws and regulations.

Skills

Healthcare client management

Provider healthcare contracting

Financial analysis

Data set organization

Education

Associate's degree or equivalent professional experience

Job description

Hi, we’re Oscar. We’re hiring an Associate, Network Contracting to join our Specialist Contracting team.

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.

About The Role

You will be responsible for managing contracts with key healthcare providers in Oscar’s network (hospital/health systems and large national ancillary groups) to build and maintain a robust network; 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. Supporting cost saving initiatives, executing national network strategy, and ensuring high performing network development 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 Senior Director, Speciality Contracting.

Work Location

This is a remote position, open to candidates who reside in: Dallas, Texas. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area.

Pay Transparency

The base pay for this role is: $87,560 - $114,434 per year. You are also eligible for employee benefits, monthly vacation accrual at a rate of 15 days per year, 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.
• Support comprehensive reviews and analyses of assigned provider contracts, identifying areas for improvement and optimization.
• Utilize data and analytics of provider financial issues and competitor strategies to support informing negotiation and contracting decisions.
• 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 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.

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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 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.

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.

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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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