Remote Healthcare Network Contracts Specialist

Oscar Health; United States; A distancia; USD 68.000 - 89.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, dental, vision benefits

Unlimited vacation program

Descripción de la vacante

Oscar Health is hiring a Senior Specialist, Network Recruitment to support network adequacy and growth through contracting lifecycle management. This remote role serves candidates across the United States, with travel for client meetings and team events as needed.

You will collaborate across internal teams to manage provider contracts, build recruitment lists, and ensure data accuracy in enterprise systems. The position reports to the Manager, Network Recruitment.

Formación

• Associate's degree or 2+ years of relevant experience.
• Minimum 2+ years of experience in healthcare contract coordination, provider relations, or a similar role within a managed care environment.
• 1+ years of experience in Microsoft Office or Google Suites, with strong knowledge of Excel/Sheets.
• 1+ years of experience prioritizing and managing cross-functional projects.
• 1+ years experience supporting provider contracting efforts in a health insurance environment.

Responsabilidades

• Utilize demographic data for current out-of-network providers to create recruitment lists, targeting network adequacy based on geography, specialty, or member demographics.
• Support the preparation, review, and execution of provider contracts and Letters of Agreement.
• Collaborate with the Provider Recruitment team to address provider inquiries, concerns, and data-related contracting inquiries.
• Oversees the “Request to Join” process and the “Join Our Network” mailbox to identify new provider contracts promptly and assign them efficiently.
• Generate reports and summaries concerning provider contract data updates and network status, incorporating changes from various sources.
• Coordinate with different departments to collect provider contract data for setting up providers in enterprise data systems, including system configuration, provider directory, and credentialing processes.
• Maintain and verify provider contracting data in the network database and assist other departments with ongoing contract updates.
• Provide support for special projects to ensure the completeness and accuracy of the provider contracting database.
• Offer administrative assistance, including screening and researching incoming provider requests from multiple communication platforms.
• Participate in process improvement initiatives to streamline workflows and improve the provider experience.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Conocimientos

Microsoft Office

Google Suite

Project management

Provider contracting

Data analysis

Educación

Associate's degree

2+ years relevant experience

Herramientas

Excel

Sheets

Descripción del empleo

Oscar Health is hiring a Senior Specialist, Network Recruitment to support network adequacy and growth through contracting lifecycle management. This remote role serves candidates across the United States, with travel for client meetings and team events as needed.

You will collaborate across internal teams to manage provider contracts, build recruitment lists, and ensure data accuracy in enterprise systems. The position reports to the Manager, Network Recruitment.