Remote Provider Contracts and Network Recruiter

Oscar Health; Clifton (TX); Remote; USD 68,000 - 89,000; Full time

Benefits offered by this job

Benefits package

Unlimited vacation

Job summary

Oscar Health is seeking a Senior Specialist, Network Recruitment to support the provider contracting lifecycle and market strategies. You will work with internal teams and external providers to ensure accurate, up-to-date contracts and data supporting network adequacy.

The role reports to the Manager, Network Recruitment and offers a remote work setup with travel for client meetings. Expect collaboration across departments and a focus on process improvements while complying with healthcare

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

• Use 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.
• Other duties as assigned

Skills

Cross-functional collaboration

Project management

Education

Associate's degree

Tools

Excel/Sheets

Microsoft Office / Google Suite

Job description

Oscar Health is seeking a Senior Specialist, Network Recruitment to support the provider contracting lifecycle and market strategies. You will work with internal teams and external providers to ensure accurate, up-to-date contracts and data supporting network adequacy.

The role reports to the Manager, Network Recruitment and offers a remote work setup with travel for client meetings. Expect collaboration across departments and a focus on process improvements while complying with healthcare