Associate, Network Contracting (Northeast Region)
New
O
Oscar HealthHealth Insurance
Open to candidates who reside in: New Jersey, New York, Pennsylvania, VirginiaFull-TimeMiddle
SalaryThe base pay for this role in New Jersey and New York is: $96,876 - $127,149 per year. The base pay for this role in all other locations is: $87,188- $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, healthcare operations, or a related field.
- 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 travel up to 25% for client meetings and internal events.
- Reside in New Jersey, New York, Pennsylvania, or Virginia.
Responsibilities
- Implement contracting strategies to align with network adequacy and cost management objectives.
- Manage and negotiate contracts with healthcare providers to secure favorable terms and ensure regulatory compliance.
- Perform comprehensive contract reviews and analyses to identify optimization opportunities.
- Use data and analytics regarding provider financial performance to inform negotiation decisions.
- Meet defined metrics and SLAs related to provider outreach and contract completion.
- Collaborate with provider services teams to support provider education and communications.
- Monitor network performance and develop corrective action plans for compliance deficiencies.
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