Associate, Network Contracting (Central Region)
O
OscarHealth Insurance
This is a remote position based in the field, open to candidates who reside in: Illinois, Kansas, Michigan or Ohio.Full-TimeMiddle
Salary$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
- Financial analysisData analytics
Requirements
- 3+ years of experience in healthcare client management, healthcare consulting, provider contracting, healthcare operations, or a related field.
- 2+ years of experience supporting provider network strategy development and negotiating provider contracts.
- 1+ years experience running financial analyses on markets or product lines.
- 1+ years experience navigating and organizing large data sets such as claim files and provider rosters.
- Ability to work cross-functionally to support improvement opportunities.
- Associate's degree or equivalent professional working experience.
Responsibilities
- Implement contracting strategies aligned with company network adequacy and cost management objectives.
- Manage and negotiate contracts with healthcare providers to ensure favorable terms and regulatory compliance.
- Act as a subject matter expert, providing guidance and mentorship to junior contracting specialists and analysts.
- Conduct comprehensive reviews and analyses of provider contracts to identify optimization opportunities.
- Utilize data analytics on provider financials and competitor strategies to inform negotiation decisions.
- Facilitate training and development for junior team members to foster a collaborative environment.
- Support the implementation of contracting policies, workflows, and process improvements.
- Monitor assigned networks for compliance and develop corrective action plans as needed.
- Collaborate with provider services teams to facilitate provider education and communication.
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