Remote Provider Contracts Specialist – Network Growth

Oscar Health; Charlotte (NC); Remote; USD 68,000 - 89,000; Full time

Benefits offered by this job

Unlimited vacation

Annual performance bonuses

Job summary

Oscar Health is hiring a Senior Specialist, Network Recruitment, to maintain network adequacy and drive growth by managing the provider contracting lifecycle. You will support market strategies and ensure accuracy of new provider contracts through collaboration with internal teams and external providers.

The role reports to the Manager, Network Recruitment and is remote with possible travel for client meetings.

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.

Responsibilities

• Utilize demographic data for current out-of-network providers to create recruitment lists; target network adequacy by 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.
• 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 other departments 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 from multiple communication platforms.
• Participate in process improvement initiatives to streamline workflows and improve the provider experience.
• Compliance with all applicable laws and regulations.

Education

Associate's degree or 2+ years of relevant experience

Tools

Microsoft Office / Google Suites

Excel/Sheets

Job description

Oscar Health is hiring a Senior Specialist, Network Recruitment, to maintain network adequacy and drive growth by managing the provider contracting lifecycle. You will support market strategies and ensure accuracy of new provider contracts through collaboration with internal teams and external providers.

The role reports to the Manager, Network Recruitment and is remote with possible travel for client meetings.