Remote Network Recruitment Specialist - Provider Contracts

Oscar Health

Mississippi

À distance

USD 68 000 - 89 000

Plein temps

Il y a 8 jours

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Résumé du poste

Oscar Health is hiring a Senior Specialist, Network Recruitment to support contract lifecycle, data management, and provider relations. This remote role serves multiple states with travel for client meetings and team events. Base pay ranges from $67,813 to $89,004 annually, plus benefits and performance bonuses.

You will collaborate across departments to ensure accurate contract data, maintain provider databases, and assist with special projects while adhering to healthcare 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.

Responsabilités

  • 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.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Formation

Associate's degree or 2+ years of relevant experience

Outils

Microsoft Office
Excel
Google Sheets

Description du poste

Oscar Health is hiring a Senior Specialist, Network Recruitment to support contract lifecycle, data management, and provider relations. This remote role serves multiple states with travel for client meetings and team events. Base pay ranges from $67,813 to $89,004 annually, plus benefits and performance bonuses.

You will collaborate across departments to ensure accurate contract data, maintain provider databases, and assist with special projects while adhering to healthcare regulations.

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