Associate, Network Contracting & Services
New
O
OscarHealth Insurance
United StatesFull-TimeMiddle
Salary$87,560 - $114,434 per year (all other locations); $96,876 - $127,149 per year (NJ/NY)
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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 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.
- Strong understanding of healthcare provider contract terms and regulatory guidelines.
- Ability to perform frequent local travel for client meetings.
- Associate's degree or equivalent professional working experience preferred.
Responsibilities
- Implement contracting strategies to align with network adequacy and cost management objectives.
- Negotiate and manage contracts with healthcare providers, ensuring favorable terms and regulatory compliance.
- Support comprehensive reviews and analyses of provider contracts to identify optimization opportunities.
- Utilize provider data and market analytics to inform negotiation decisions.
- Monitor network compliance and develop corrective action plans to remediate deficiencies.
- Collaborate with provider services teams on network education and communication.
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