[Hiring] Associate, Network Contracting @Oscar Health

Role Description

The Associate, Network Contracting & Services is responsible for managing contracts with key healthcare providers in Oscar's network (hospital/health systems and individual provider groups) to build and maintain a robust network in assigned market/region. Responsibilities include:

• Ensuring access to quality care and optimizing costs by analyzing provider performance and negotiating reimbursement rates.
• Engaging with prospective providers directly to support network growth and recruiting efforts.
• Assisting with resolution of provider issues and supporting cost-saving initiatives.
• Executing the local network strategy and ensuring providers have the information and support they need to provide best-in-class member care.

You will report into the Manager, Network Contracting.

Work Location: This is a remote position based in the field, open to candidates who reside in New York. Your daily work will involve a blend of work from your home office and travel for client meetings. Occasional travel may be required for team meetings and company events. #LI-Remote

Travel up to 25%

Pay Transparency: The base pay for this role is: $96,876 - $127,149 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities

• Implement contracting strategies under the direction of Network Director and/or Senior Manager and in partnership with Market Leaders.
• Manage and negotiate contracts with assigned healthcare providers, focusing on favorable terms and compliance with organizational standards and regulatory requirements.
• 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 inform negotiation and contracting decisions.
• Meet defined metrics and SLAs including but not limited to provider outreach and contract completion.
• Collaborate with the provider services team regarding 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 remediate 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 running financial analyses on markets or product lines, and working cross-functionally to support driving improvement opportunities.
• 1+ years experience navigating and organizing large data sets such as claim files and provider rosters.

Bonus Points

• Associate's degree or equivalent professional working experience.

Benefits

• Medical, dental, and vision benefits.
• 11 paid holidays.
• Paid sick time.
• Paid parental leave.
• 401(k) plan participation.
• Life and disability insurance.
• Paid wellness time and reimbursements.