Associate, Network Contracting
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
- 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+ year of experience running financial analyses on markets or product lines.
- 1+ year of experience navigating and organizing large data sets, including claim files and provider rosters.
- Ability to travel up to 25% for client meetings, team meetings, and company events.
- Ability to work from a home office and in the field as required.
Responsibilities
- Implement contracting strategies to meet network adequacy, development, and cost management objectives.
- Negotiate and manage contracts with healthcare providers, ensuring favorable terms and regulatory compliance.
- Conduct comprehensive reviews and analyses of provider contracts to identify optimization opportunities.
- Use data and financial analytics to inform negotiation decisions and provider outreach.
- Meet defined metrics and SLAs regarding contract completion and provider engagement.
- Collaborate with provider services teams on network education and communication.
- Monitor network compliance and develop corrective action plans as needed.
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