Manager, Network Contracting
New
O
OscarHealth Insurance
Open to candidates who reside in TexasFull-TimeManager
Salary$100,602 - $132,040 per year
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Job Details
- Experience
- 4+ years in healthcare network contracting, 2+ years managing complex Provider Network strategies and negotiating complex contracts, 2+ years of people management experience, 2+ years experience in Health Insurance
- Required Skills
- Data AnalysisPeople ManagementNegotiation
Requirements
- 4+ years in healthcare network contracting, including executing contracts with health systems, hospitals, or national providers.
- 2+ years of experience managing complex Provider Network strategies and negotiating complex contracts.
- 2+ years of people management experience.
- 2+ years of experience in Health Insurance (Individual and/or Medicare Advantage) and/or the Healthcare industry.
- Proficiency in utilizing data and analytics for financial analysis and negotiation.
- Strong understanding of provider reimbursement models and network management.
- Ability to lead, mentor, and develop a team of direct reports.
- Demonstrated ability to negotiate and resolve contract disputes.
- Bachelor's degree preferred or equivalent professional working experience.
Responsibilities
- Implement contracting strategies aligned with network adequacy, development, and cost management objectives.
- Manage and negotiate contracts with assigned healthcare providers while ensuring compliance with standards.
- Lead, mentor, and set strategic objectives for a team of contracting associates and specialists.
- Conduct comprehensive reviews and financial analyses of provider contracts to identify optimization opportunities.
- Leverage data and analytics to inform negotiation decisions and competitor strategy.
- Implement and monitor contracting policies, workflows, and process efficiency.
- Monitor network performance, cost, and provider satisfaction metrics for leadership reporting.
- Provide timely resolution for provider issues related to contract terms and reimbursement.
- Build and maintain strong relationships with healthcare providers for network stability.
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