Remote Network Contracting & Services Associate

Oscar Health; Town of Texas, Fort Worth (WI, TX); On-site; USD 87,000 - 114,000; Full time

Benefits offered by this job

Medical, dental, and vision benefits

11 paid holidays

Paid sick time

Paid parental leave

401(k) plan participation

Life and disability insurance

Paid wellness time and reimbursements

Job summary

Oscar Health is hiring an Associate to join our Network Contracting & Services team. This remote role is based in Texas, with travel as needed and reporting to the Senior Director.

You will manage contracts with hospitals, health systems and provider groups to build and maintain a robust network while analyzing performance and optimizing costs. The position supports network growth and provider recruitment, ensures regulatory compliance, and contributes to achieving access to quality care for

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
• 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
• 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

Healthcare operations

Provider network strategy

Financial analysis

Data analysis

Education

Associate's degree or equivalent

Job description

Oscar Health is hiring an Associate to join our Network Contracting & Services team. This remote role is based in Texas, with travel as needed and reporting to the Senior Director.

You will manage contracts with hospitals, health systems and provider groups to build and maintain a robust network while analyzing performance and optimizing costs. The position supports network growth and provider recruitment, ensures regulatory compliance, and contributes to achieving access to quality care for