Senior Network Recruiting & Provider Contracts Lead

Oscar Health, Inc.; Oklahoma City (OK); Remote; USD 68.000 - 89.000; Vollzeit

Benefits dieser Stelle

Medical, dental and vision insurance

11 paid holidays

Paid sick time

401(k) plan participation

Life and disability insurance

Paid wellness time

Zusammenfassung

Oscar Health, Inc. is seeking a Senior Specialist, Network Recruitment to maintain network adequacy and drive growth through provider contracting lifecycle.

The role collaborates with internal teams and external providers, manages in-flight contracts, and reports to the Manager, Network Recruitment. The position is remote with travel as needed and offers base pay in the stated range plus annual performance bonuses and benefits.

Qualifikationen

• 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.
• Bonus points: 1+ years experience supporting provider contracting efforts in a health insurance environment.
• Process improvement principles.
• Familiarity with provider directories or provider network data.

Aufgaben

• 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 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

Kenntnisse

Cross-functional collaboration

Contract coordination

Data analysis

Process improvement

Project management

Ausbildung

Associate's degree

2+ years relevant experience

Tools

Microsoft Excel

Google Sheets

Jobbeschreibung

Oscar Health, Inc. is seeking a Senior Specialist, Network Recruitment to maintain network adequacy and drive growth through provider contracting lifecycle.

The role collaborates with internal teams and external providers, manages in-flight contracts, and reports to the Manager, Network Recruitment. The position is remote with travel as needed and offers base pay in the stated range plus annual performance bonuses and benefits.