Senior Specialist, Provider Network Recruitment
New
O
OscarHealth insurance
This is a remote position, open to candidates who reside in: Alabama, Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Mississippi, Missouri, Nebraska, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, or Virginia.Full-TimeSenior
Salary67,813 - 89,004 USD per year
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Job Details
- Experience
- Minimum 2+ years of experience in healthcare contract coordination, provider relations, or a similar role within a managed care environment. 1+ years of experience in Microsoft Office or Google Suites, with strong knowledge of Excel/Sheets. 1+ years of experience prioritizing and managing cross-functional projects.
- Required Skills
- Microsoft ExcelMicrosoft OfficeGoogle Sheets
Requirements
- Associate's degree or 2+ years of relevant experience.
- At least 2 years of experience in healthcare contract coordination, provider relations, or a similar role within a managed care environment.
- At least 1 year of experience using Microsoft Office or Google Suites.
- Strong knowledge of Excel or Sheets.
- At least 1 year of experience prioritizing and managing cross-functional projects.
- Bonus: At least 1 year of experience supporting provider contracting efforts in a health insurance environment.
- Bonus: Familiarity with process improvement principles.
- Bonus: Familiarity with provider directories or provider network data.
Responsibilities
- Use demographic data for current out-of-network providers to create recruitment lists based on geography, specialty, or member demographics.
- Support the preparation, review, and execution of provider contracts and Letters of Agreement.
- Collaborate with the Provider Recruitment team to address provider inquiries, concerns, and data-related contracting inquiries.
- Oversee the “Request to Join” process and “Join Our Network” mailbox, identifying new provider contracts and assigning them efficiently.
- Generate reports and summaries on provider contract data updates and network status, incorporating changes from multiple sources.
- Coordinate with departments to collect provider contract data for enterprise systems, provider directories, and credentialing processes.
- Maintain and verify provider contracting data in the network database and assist with ongoing contract updates.
- Support special projects to ensure the completeness and accuracy of the provider contracting database.
- Screen and research incoming provider requests and participate in process improvement initiatives.
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