Associate, Network Contracting
New
O
Oscar HealthHealth Insurance
This is a remote position, open to candidates who reside in: Atlanta, Georgia.Full-TimeMiddle
Salary$87,560 - $114,434 per year
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Job Details
- Experience
- 3+ years of experience in healthcare client management, healthcare consulting, or provider healthcare contracting, healthcare operations, or a related field
- Required Skills
- Data AnalysisFinancial analysis
Requirements
- 3+ years of experience in healthcare client management, healthcare consulting, provider healthcare contracting, or healthcare operations.
- 2+ years of experience supporting provider network strategy development and negotiating provider contracts.
- 1+ years of experience running financial analyses on markets or product lines.
- 1+ years of experience navigating and organizing large data sets such as claim files and provider rosters.
- Ability to work cross-functionally to support improvement opportunities.
- Knowledge of regulatory guidelines and compliance standards within healthcare contracting.
- Associate's degree or equivalent professional working experience.
Responsibilities
- Implement contracting strategies that align with network adequacy and cost management objectives.
- Manage and negotiate contracts with assigned healthcare providers, ensuring favorable terms and compliance.
- Conduct comprehensive reviews and analyses of provider contracts to identify optimization opportunities.
- Utilize provider financial data and competitor strategies to inform negotiation and contracting decisions.
- Meet defined metrics and SLAs, including provider outreach and contract completion targets.
- Collaborate with provider services for effective network communication and education.
- Monitor assigned networks for compliance and develop corrective action plans as needed.
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