Remote Network Contracting Associate: Forge Partnerships

Oscar Health; United States; Hybrid; USD 87,000 - 114,000; Full time

Benefits offered by this job

Unlimited vacation

Annual performance bonuses

Benefits package

Job summary

Oscar Health is seeking an Associate in Network Contracting & Services to negotiate and manage contracts with healthcare providers and to optimize costs while ensuring access to quality care. This remote Field-based role reports to the Manager, Network Contracting, and requires up to 25% travel within the United States.

The position is open to candidates in Illinois, Kansas, Michigan, or Ohio, with base pay in the 87k–114k range plus benefits and bonuses.

Qualifications

• 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

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

Skills

Healthcare contracting

Provider network strategy

Financial analysis

Data analysis

Education

Associate degree

Job description

Oscar Health is seeking an Associate in Network Contracting & Services to negotiate and manage contracts with healthcare providers and to optimize costs while ensuring access to quality care. This remote Field-based role reports to the Manager, Network Contracting, and requires up to 25% travel within the United States.

The position is open to candidates in Illinois, Kansas, Michigan, or Ohio, with base pay in the 87k–114k range plus benefits and bonuses.