Senior Director, Specialty Contracting

Posted 1 day agoViewed

💎 Seniority level: Director, 12+ years

📍 Location: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, 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, or Washington, D.C.

💸 Salary: 172800.0 - 252000.0 USD per year

🔍 Industry: Healthcare

🏢 Company: Oscar Health👥 1001-5000💰 $140,000,000 Private about 4 years ago🫂 Last layoff almost 5 years agoHealth Insurance InsurTech Insurance Health Care

🗣️ Languages: English

⏳ Experience: 12+ years

🪄 Skills: LeadershipProject ManagementData AnalysisPeople ManagementCross-functional Team LeadershipStrategic ManagementCommunication SkillsComplianceNegotiation skillsRisk ManagementStakeholder managementFinancial analysisBudget management

Requirements:

12+ years of experience in healthcare provider contracting, network development, or related areas.
7+ years experience negotiating specialty 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.

Responsibilities:

Develop and implement complex contracting strategies in partnership with multiple Market Leaders that align with the company’s overall network development and cost management objectives.
Lead and mentor the provider contracting team, setting clear goals and expectations.
Collaborate with the Network Monitoring & Performance team to identify network gaps and develop strategies to expand provider relationships and access to care.
If necessary, be able to source and identify OON provider targets that align with Oscars overall Market strategy
Lead complex contract negotiations with hospitals, physicians, ancillary service providers, and other healthcare entities.
Develop and execute standard and complex contracting agreements that drive financial performance, ensure access to quality care, and support cost control efforts.
Ensure timely resolution of provider issues related to contract terms, reimbursement, and network participation.
Ensure all provider agreements comply with relevant federal, state, and local regulations.
Act as a primary point of contact between the organization and healthcare providers for contracting-related activities.
Build and maintain strong working relationships with providers to foster collaboration and network stability.

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