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Associate, Network Contracting
@Oscar Health
[Hiring] Associate, Network Contracting @Oscar Health
Apr 11, 2025 - Oscar Health is hiring a remote Associate, Network Contracting. 💸 Salary: $88,560 - $129,150 per year. 📍Location: USA.
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Role Description
The Associate, Network Contracting role is responsible for establishing strong, collaborative relationships with network providers, ensuring compliance with regulatory guidelines, and continuously refining contract terms to align with our strategic goals. The role supports and drives network strategy development and execution, contributing to our overall growth and success. You will focus on understanding market opportunities and pain points, becoming the primary point of contact for providers in the Northeast market.
- Implement contracting strategies under the direction of Network Director and/or Senior Manager and in partnership with Market Leaders that align with our overall network adequacy, development and cost management goals.
- Manage and negotiate contracts with assigned healthcare providers, focusing on favorable terms and compliance with organizational standards and regulatory requirements.
- Serve as a Subject Matter Expert to a small team of contracting specialists and/or analysts, providing guidance and encouraging a collaborative work environment.
- Support comprehensive reviews and analyses of assigned provider contracts, identifying areas for improvement and optimization.
- Utilize data and analytics of provider financial issues and competitor strategies to support informing negotiation and contracting decisions.
- Facilitate guidance and mentorship of more junior team members by reiterating strategic goals, providing training and development opportunities, and promoting a collaborative work environment.
- Support implementation of contracting policies and workflows; support identifying when effective and efficient contracting processes need improvement.
- Meet defined metrics and SLAs including but not limited to provider outreach and contract completion.
- Collaborate with the provider services team regarding the servicing, education and communication to our provider network.
- Monitor assigned networks to gauge compliance with standards, developing corrective action plans with network contracting and market leadership to improve deficiencies.
- Compliance with all applicable laws and regulations.
- Other duties as assigned.
Qualifications
- 3+ years of experience in healthcare client management, healthcare consulting, or 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 navigating and organizing large data sets such as claim files and provider rosters.
- 1+ years experience running financial analyses on markets or product lines, and working cross-functionally to support improving opportunities.
Requirements
- You must reside in one of the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C.
Benefits
- Base pay for this role in California, Connecticut, New Jersey, New York, and Washington: $98,400 - $129,150 per year.
- Base pay for this role in all other locations: $88,560 - $116,235 per year.
- Eligible for employee benefits, monthly vacation accrual at a rate of 15 days per year, and annual performance bonuses.
- Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
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| 📍 | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
Back to Remote jobs >
All others
All others
|
Salary
💸
$88,560 - $129,150 per year
|
Remote
Location
USA
|
|
Job Type
full-time
|
Posted
Apr 11, 2025
|
️
| 📍 | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
