Hi, we're Oscar. We're hiring a Associate, Network Contracting to join our Network team.
Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.
About the role
The Associate, Network Contracting is responsible for negotiating and managing contracts with healthcare providers (hospital/health system and individual) to build and maintain a robust network in assigned market/region; while also ensuring access to quality care and optimizing costs by analyzing provider performance and negotiating reimbursement rates, often involving complex contract terms and compliance with regulatory guidelines. The Associate also supports network growth and recruiting efforts by engaging with prospective providers directly; assisting with resolution of provider issues; supporting cost- saving initiatives; assisting with the design and execution of the local network strategy; and ensuring providers across our service area have the information and support they need to provide best-in-class member care.
Travel required will be up to 15%.
You will report to the Senior Manager, Network Contracting
Work Location:
Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.
This is a hybrid role in our New York office. You will work part of the time in the office and part of the time remote / work-from-home. #LI-Hybrid
Pay Transparency:
The base pay for this role is $98,400 - $129,150 per. year. You are also eligible for employee benefits, monthly vacation accrual at a rate of 15 days per year. And annual performance bonuses.
Responsibilities
- Implement contracting strategies under the direction of Network Director and/or Senior Manager and in partnership with Market Leaders that align with our overall network adequacy, development and cost management goals.
- Manage and negotiate contracts with assigned healthcare providers, focusing on favorable terms and compliance with organizational standards and regulatory requirements.
- Serve as a Subject Matter Expert to a small team of contracting specialists and/or analysts, providing guidance and encouraging a collaborative and work environment.
- Supports comprehensive reviews and analyses of assigned provider contracts, identifying areas for improvement and optimization.
- Utilizes data and analytics of provider financial issues and competitor strategies to support informing negotiation and contracting decisions.
- Facilitates guidance and mentorship of more junior team members by reiterating strategic goals, providing training and development opportunities, and promoting a collaborative and work environment.
- Supports implementation of contracting policies and workflows; supports identifying when effective and efficient contracting processes need improvement Meet defined metrics and SLAs including but not limited to provider outreach and contract completion.
- Collaborate with the provider services team regarding the servicing, education and communication to our provider network.
- Monitor assigned networks to gauge compliance with standards, developing corrective action plans with network contracting and market leadership to improve deficiencies.
- Compliance with all applicable laws and regulations.
- Other duties as assigned.
Qualifications
- 3+ years of experience in healthcare client management, healthcare consulting, or provider healthcare contracting, healthcare operations, or a related field
- 2+ years of experience supporting provider network strategy development and negotiating provider contracts
- 1+ years experience navigating and organizing large data sets such as claim files and provider rosters
- 1+ years experience running financial analyses on a markets or product lines, and working cross-functionally to support improving opportunities
- Able to travel up to 15%.
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At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.
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