Remote Network Recruitment Specialist – Provider Contracts

Oscar Health; Lincoln (NE); Remote; USD 68,000 - 89,000; Full time

Job summary

Oscar Health is hiring a Senior Specialist to join our Network Recruitment team. This role focuses on administering the provider contracting lifecycle, supporting market strategies, and ensuring data accuracy for in-flight contracts.

You will collaborate with internal teams and external providers to maintain network adequacy, manage the "Request to Join" process, generate reports, and drive process improvements while complying with applicable laws and regulations.

Qualifications

• Associate's degree or 2+ years of relevant experience.
• Minimum 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 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 and data-related contracting questions.
• Oversees the "Request to Join" process and the "Join Our Network" mailbox to identify new provider contracts.
• Generate reports and summaries concerning provider contract data updates and network status.
• Coordinate with departments to collect provider contract data for setting up providers in enterprise data systems.
• Maintain and verify provider contracting data in the network database and assist with ongoing contract updates.
• Provide support for special projects to ensure completeness and accuracy of the provider contracting database.
• Offer administrative assistance, including screening and researching incoming provider requests.
• Participate in process improvement initiatives to streamline workflows and improve provider experience.
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

Education

Associate's degree

Tools

Microsoft Office/Google Suite

Excel/Sheets

Job description

Oscar Health is hiring a Senior Specialist to join our Network Recruitment team. This role focuses on administering the provider contracting lifecycle, supporting market strategies, and ensuring data accuracy for in-flight contracts.

You will collaborate with internal teams and external providers to maintain network adequacy, manage the "Request to Join" process, generate reports, and drive process improvements while complying with applicable laws and regulations.