Remote Network Contracting Manager - Northeast Region

Oscar Health Insurance; New York (NY); Remote; USD 112.000 - 147.000; Vollzeit

Benefits dieser Stelle

Medical benefits

Dental benefits

Vision benefits

11 paid holidays

Paid sick time

Paid parental leave

401(k) plan participation

Life and disability insurance

Paid wellness time and reimbursements

Zusammenfassung

Oscar is seeking a Manager of Network Contracting to lead a team that negotiates, executes, and analyzes contracts with large healthcare providers. The role focuses on expanding and stabilizing the provider network while meeting cost, quality, and access goals.

You will report to the Director of Network Contracting & Services and may travel for client meetings. This remote role is based in the field, with eligibility for candidates in several states.

Qualifikationen

• 4+ years in healthcare network contracting, including executing contracts with health systems, hospitals or national providers.
• 2+ years of experience managing complex Provider Network strategies and negotiating complex contracts.
• 2+ years of people management experience.
• 2+ years experience in Health Insurance (Individual and/or Medicare Advantage) and/or Healthcare industry.
• Bachelor's degree or equivalent professional working experience.

Aufgaben

• 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.
• Oversee a small team of contracting associates and specialists, facilitating leadership, guidance, and mentorship by setting strategic objectives, monitoring team performance, providing training and development opportunities, and fostering a collaborative and innovative work environment.
• Conducts 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 inform negotiation and contracting decisions and to support the team in doing so.
• Key player in implementation of contracting policies and workflows; monitors and ensures effective and efficient contracting processes are in place.
• Monitor key metrics for network performance, cost, and provider satisfaction, and provide reports to leadership for assigned accounts.

Kenntnisse

Healthcare contracting

Negotiation

People management

Contract analysis

Data analytics

Ausbildung

Bachelor's degree or equivalent

Jobbeschreibung

Oscar is seeking a Manager of Network Contracting to lead a team that negotiates, executes, and analyzes contracts with large healthcare providers. The role focuses on expanding and stabilizing the provider network while meeting cost, quality, and access goals.

You will report to the Director of Network Contracting & Services and may travel for client meetings. This remote role is based in the field, with eligibility for candidates in several states.