Network Contracting & Services Associate
New
O
OscarHealth Insurance
Open to candidates who reside in Arizona, Illinois, Iowa, Kansas, Michigan, Missouri, Nebraska, New Jersey, New York, Ohio, Pennsylvania, Texas or Virginia.Full-TimeMiddle
SalaryThe base pay for this role in the states of New Jersey and New York is: $96,876 - 127,149 per year. The base pay for this role in all other locations is: $87,560 - $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 AnalysisComplianceFinancial 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+ years of experience conducting financial analyses for markets or product lines.
- 1+ years of experience navigating and organizing large datasets such as claim files and provider rosters.
- Ability to work in a remote home office environment.
- Ability to perform frequent local travel for client meetings.
- Proficiency in analyzing complex contract terms and regulatory requirements.
- Strong cross-functional collaboration and communication skills.
- Associate's degree or equivalent professional work experience preferred.
Responsibilities
- Implement contracting strategies in partnership with Market Leaders to align with network adequacy and cost management objectives.
- Manage and negotiate contracts with healthcare providers to secure favorable terms and ensure regulatory compliance.
- Serve as a Subject Matter Expert providing guidance to a team of contracting specialists and analysts.
- Conduct comprehensive reviews and financial analyses of provider contracts to identify optimization opportunities.
- Utilize data and competitor insights to inform negotiation decisions.
- Facilitate mentorship and training for junior team members.
- Support the implementation of contracting policies and workflows to meet defined SLAs.
- Collaborate with provider services teams on network education and communication.
- Monitor network compliance and develop corrective action plans for identified deficiencies.
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