Remote Network Contracts Specialist (Healthcare)

Oscar Health; Lansing (MI); Remote; USD 68,000 - 89,000; Full time

Job summary

Oscar Health is seeking a Senior Specialist, Network Recruitment to manage the contracting lifecycle for providers and support market strategies. You will collaborate with internal teams and external providers to ensure accurate, complete provider contracts data and maintain network adequacy.

You will work remotely from eligible states and report to the Manager, Network Recruitment. The role involves travel for client meetings and team events as needed, with a base pay range and performance

Qualifications

• Associate's degree or 2+ years of relevant experience in healthcare contract coordination.
• 2+ years of experience in healthcare contract coordination, provider relations, or a similar role within a managed care environment.
• 1+ years of experience in Microsoft Office or Google Suites, with strong knowledge of Excel/Sheets.
• 1+ years of experience prioritizing and managing cross-functional projects.

Responsibilities

• Utilize demographic data for current out-of-network providers to create recruitment lists, targeting network adequacy based on geography, specialty, or member demographics.
• Support the preparation, review, and execution of provider contracts and Letters of Agreement.
• Collaborate with the Provider Recruitment team to address provider inquiries, concerns, and data-related contracting inquiries.
• Oversees the “Request to Join” process and the “Join Our Network” mailbox to identify new provider contracts promptly and assign them efficiently.
• Generate reports and summaries concerning provider contract data updates and network status, incorporating changes from various sources (mail, fax, electronic, etc.).
• Coordinate with different departments to collect provider contract data for setting up providers in enterprise data systems, including system configuration, provider directory, and credentialing processes.
• Maintain and verify provider contracting data in the network database and assist other departments with ongoing contract updates.
• Provide support for special projects to ensure the completeness and accuracy of the provider contracting database.
• Offer administrative assistance, including screening and researching incoming provider requests from multiple communication platforms.
• Participate in process improvement initiatives to streamline workflows and improve the provider experience.
• Compliance with all applicable laws and regulations.

Job description

Oscar Health is seeking a Senior Specialist, Network Recruitment to manage the contracting lifecycle for providers and support market strategies. You will collaborate with internal teams and external providers to ensure accurate, complete provider contracts data and maintain network adequacy.

You will work remotely from eligible states and report to the Manager, Network Recruitment. The role involves travel for client meetings and team events as needed, with a base pay range and performance