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Director, Network Contracting & Services

Posted 1 day agoViewed

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💎 Seniority level: Director, 10+ years in healthcare provider contracting or related areas

📍 Location: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Washington D.C.

💸 Salary: 142560.0 - 207900.0 USD per year

🔍 Industry: Health insurance

🏢 Company: Oscar Health👥 1001-5000💰 $140,000,000 Private about 4 years ago🫂 Last layoff over 4 years agoHealth InsuranceInsurTechInsuranceHealth Care

⏳ Experience: 10+ years in healthcare provider contracting or related areas

🪄 Skills: LeadershipNegotiationComplianceRelationship management

Requirements:
  • 10+ years of experience in healthcare provider contracting, network development, or related areas.
  • 5+ years of experience negotiating complex contracts with hospitals and physician groups.
  • 4+ years of leadership or managerial experience in a healthcare setting.
Responsibilities:
  • Develop and implement contracting strategies in partnership with Market Leaders.
  • Lead and mentor the provider contracting team.
  • Collaborate with the Network Monitoring & Performance team to identify and address network gaps.
  • Source and identify OON provider targets aligned with Oscar's market strategy.
  • Lead contract negotiations with hospitals, physicians, and other healthcare entities.
  • Develop and execute financial agreements ensuring quality care.
  • Resolve provider issues related to contracts and network participation.
  • Ensure compliance with relevant federal, state, and local regulations.
  • Act as the primary contact between Oscar and healthcare providers.
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🔥 Senior Director, Network Contracting & Services
Posted 1 day ago

📍 Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Washington D.C.

🧭 Full-Time

💸 172800.0 - 252000.0 USD per year

🔍 Health Insurance

🏢 Company: Oscar Health👥 1001-5000💰 $140,000,000 Private about 4 years ago🫂 Last layoff over 4 years agoHealth InsuranceInsurTechInsuranceHealth Care

  • 12+ years of experience in healthcare provider contracting, network development, or related areas.
  • 7+ years experience negotiating complex contracts with hospitals, physician groups, and other healthcare providers.
  • 5+ years of leadership or managerial experience in a healthcare setting.
  • Strong understanding of healthcare delivery systems, reimbursement models, and managed care principles (bonus).

  • Develop and implement complex contracting strategies in partnership with multiple Market Leaders.
  • Lead and mentor the provider contracting team, setting clear goals and expectations.
  • Collaborate with the Network Monitoring & Performance team to identify network gaps.
  • Lead contract negotiations with healthcare entities.
  • Ensure compliance with relevant regulations and timely resolution of provider issues.
  • Build and maintain strong relationships with providers.

LeadershipStrategic ManagementNegotiationComplianceRelationship management

Posted 1 day ago
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