Remote Network Contracting & Services Associate

Oscar Health; United States; On-site; USD 87,188 - 114,434; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k) plan

Unlimited vacation

Performance bonuses

Job summary

Oscar Health is seeking an Associate to join the Network Contracting & Services team. The role centers on managing contracts with hospitals, health systems and provider groups to build a robust network while analyzing performance and negotiating reimbursement terms.

The position is remote and field-based, open to candidates across the United States, with travel for client meetings and team events. Benefits include comprehensive health plans, unlimited vacation, and performance bonuses.

Qualifications

• 3+ years in healthcare client management, healthcare consulting, or provider contracting, healthcare operations, or related field.
• 2+ years supporting provider network strategy development and negotiating provider contracts.
• 1+ years running financial analyses on a markets or product lines, and working cross-functionally to support driving improvement opportunities.
• 1+ years navigating and organizing large data sets such as claim files and provider rosters.
• Bonus points: Associate's degree or equivalent professional working experience.

Responsibilities

• Implement contracting strategies under the direction of Network Director and/or Senior Manager.
• Manage and negotiate contracts with assigned healthcare providers, focusing on favorable terms and regulatory compliance.
• Support comprehensive reviews and analyses of provider contracts, identifying areas for improvement and optimization.
• Utilize data and analytics of provider financial issues and competitor strategies to inform negotiation and contracting decisions.
• Meet defined metrics and SLAs including provider outreach and contract completion.
• Collaborate with the provider services team regarding servicing, education and communication to our provider network.
• Monitor assigned networks for compliance and develop corrective action plans with leadership.
• Ensure compliance with all applicable laws and regulations.
• Other duties as assigned.

Skills

Healthcare contract management

Data analysis on provider networks

Cross-functional collaboration

Financial analysis

Education

Associate's degree or equivalent

Tools

Excel

SQL

Job description

Oscar Health is seeking an Associate to join the Network Contracting & Services team. The role centers on managing contracts with hospitals, health systems and provider groups to build a robust network while analyzing performance and negotiating reimbursement terms.

The position is remote and field-based, open to candidates across the United States, with travel for client meetings and team events. Benefits include comprehensive health plans, unlimited vacation, and performance bonuses.