Remote Network Recruitment Specialist

Oscar Health; Tallahassee (FL); A distancia; USD 68.000 - 89.000; Jornada completa

Descripción de la vacante

Oscar Health is hiring a Senior Specialist, Network Recruitment for a remote role open to several states across the U.S. You will manage provider contracts data, support new contracting processes, and collaborate with internal teams and external providers to ensure accurate network admissions.

The role emphasizes maintaining network adequacy, coordinating with multiple departments, and generating insights from contract data to aid market strategies.

Formación

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

Responsabilidades

• 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

Conocimientos

Healthcare contract coordination

Provider relations

Cross-functional projects

Data management

Educación

Associate's degree

Herramientas

Microsoft Office

Google Sheets

Descripción del empleo

Oscar Health is hiring a Senior Specialist, Network Recruitment for a remote role open to several states across the U.S. You will manage provider contracts data, support new contracting processes, and collaborate with internal teams and external providers to ensure accurate network admissions.

The role emphasizes maintaining network adequacy, coordinating with multiple departments, and generating insights from contract data to aid market strategies.