Remote Network Recruiting Specialist — Provider Contracts

Oscar Health; Philadelphia (Philadelphia County); Remote; USD 68,000 - 89,000; Full time

Benefits offered by this job

Medical, dental, vision

401(k)

Paid holidays

Parental leave

Wellness time

Job summary

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

This remote role reports to the Manager, Network Recruitment and requires collaboration across departments, data management, and travel for occasional meetings. Base pay ranges from $67,813 to $89,004 per year, with benefits and performance bonuses.

Qualifications

• Associate's degree or 2+ years of relevant experience.
• 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 inquires
• 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

Skills

Cross-functional project management

Strong communication

Education

Associate's degree

Tools

Excel/Sheets

Google Workspace

Job description

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

This remote role reports to the Manager, Network Recruitment and requires collaboration across departments, data management, and travel for occasional meetings. Base pay ranges from $67,813 to $89,004 per year, with benefits and performance bonuses.