Senior Manager, Network Contracting & Services - Southeast Region
107280 - 140805 USD per year
Company:Oscar Health
Location:Georgia, North Carolina, New York, South Carolina, Tennessee, EST, PST
Languages:English
Seniority level:Senior, 6+ years in healthcare network contracting, 4+ years managing complex Provider Network strategies and negotiating complex contracts, 3+ years of leadership experience, 3+ years experience in Health Insurance (Individual and/or Medicare Advantage) and/or Healthcare industry
Experience:6+ years in healthcare network contracting, 4+ years managing complex Provider Network strategies and negotiating complex contracts, 3+ years of leadership experience, 3+ years experience in Health Insurance (Individual and/or Medicare Advantage) and/or Healthcare industry
Skills:
LeadershipProject ManagementBusiness DevelopmentPeople ManagementCross-functional Team LeadershipStrategyFinancial ManagementCommunication SkillsAnalytical SkillsMentoringNegotiationComplianceRelationship buildingAccount ManagementNegotiation skillsClient relationship management
Requirements:
6+ years in healthcare network contracting, including executing contracts with health systems, hospitals or national providers, provider relations, or network management. 4+ years of experience managing complex Provider Network strategies and negotiating complex contracts. 3+ years of leadership experience. 3+ years experience in Health Insurance (Individual and/or Medicare Advantage) and/or Healthcare industry.
Responsibilities:
Oversee a team of provider network managers, including specialists and associates, contracting managers, associates and specialists. Lead high-importance claims dispute and/or settlement negotiations. Manage and negotiate complex contracts with healthcare providers, including Value Based Care agreements. Monitor and analyze key metrics for network performance, cost, and provider satisfaction. Build and maintain positive relationships with healthcare providers. Ensure timely resolution of provider issues related to contract terms, reimbursement, and network participation.
