Remote Network Contracting & Growth Associate

Oscar Health, Inc.; United States; Remoto; USD 88.000 - 127.000; Tempo pieno

Vantaggi offerti da questo lavoro

Employee benefits

Unlimited vacation program

Annual performance bonuses

Descrizione del lavoro

Oscar Health, Inc. is seeking an Associate, Network Contracting to negotiate and manage contracts with healthcare providers, build a robust regional network, and optimize costs through data-driven analyses.

The role reports to the Director, Network Contracting & Services and involves travel for client meetings within assigned markets. The role supports network growth, provider outreach, and adherence to regulatory guidelines, with opportunities for mentorship and involvement in local network

Competenze

• 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.

Mansioni

• 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

Conoscenze

Healthcare contracting

Data analysis

Cross-functional collaboration

Formazione

Associate's degree

Descrizione del lavoro

Oscar Health, Inc. is seeking an Associate, Network Contracting to negotiate and manage contracts with healthcare providers, build a robust regional network, and optimize costs through data-driven analyses.

The role reports to the Director, Network Contracting & Services and involves travel for client meetings within assigned markets. The role supports network growth, provider outreach, and adherence to regulatory guidelines, with opportunities for mentorship and involvement in local network