Senior Manager, Network Contracting
New
O
OscarHealth Insurance
Open to candidates who reside in Arizona, Missouri or TexasFull-TimeManager
Salary$122,212 - $160,404 per year
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Job Details
- Experience
- 6+ years in healthcare network contracting
- Required Skills
- Financial analysis
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.
- Bachelor's degree or equivalent professional working experience preferred.
Responsibilities
- Help inform and drive implementation of contracting strategies in partnership with Market Leaders that align with company network adequacy, development and cost management objectives.
- Lead contract settlement negotiations, striving to reach mutually beneficial agreements with providers that maintain and enhance the provider network.
- Manage and negotiate complex contracts with healthcare providers, focusing on favorable terms and compliance with organizational standards and regulatory requirements.
- Oversee a team of contracting managers, associates and specialists facilitating leadership, guidance, and mentorship by setting strategic objectives, monitoring team performance, and providing training.
- Conduct comprehensive reviews and analyses of provider contracts, identifying and surfacing areas for improvement and optimization to appropriate stakeholders.
- Utilize working knowledge of provider financial issues and competitor strategies to inform negotiation and contracting decisions.
- Drive implementation across the contracting team of contracting policies and workflows; ensure effective and efficient contracting processes are in place.
- Monitor and analyze key metrics for network performance, cost, and provider satisfaction, and provide reports to leadership.
- Ensure the team provides timely resolution of provider issues related to contract terms, reimbursement, and network participation.
- Build and maintain positive relationships with healthcare providers to ensure network stability and quality.
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