[Hiring] Network Contracting & Services Associate @Oscar Health

Role Description

The Associate, Network Contracting is responsible for negotiating and managing contracts with healthcare providers (hospital/health system and individual) to build and maintain a robust network in assigned market/region. Key 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.
• Assisting with the design and execution of the local network strategy.
• Ensuring providers have the information and support needed to provide best-in-class member care.

You will report into the Director, Network Contracting & Services.

Work Location: This is a remote position based in the field, open to candidates who reside in Arizona, Illinois, Iowa, Kansas, Michigan, Missouri, Nebraska, New Jersey, New York, Ohio, Pennsylvania, Texas or Virginia. Your daily work will involve a blend of work from your home office and frequent local travel for client meetings. Occasional travel may be required for team meetings and company events.

Pay Transparency: The 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. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

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.

Requirements

• 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.
• Serve as a Subject Matter Expert to a small team of contracting specialists and/or analysts.
• Support comprehensive reviews and analyses of assigned provider contracts.
• Utilize data and analytics of provider financial issues and competitor strategies to inform negotiation and contracting decisions.
• Facilitate guidance and mentorship of more junior team members.
• Support implementation of contracting policies and workflows.
• Meet defined metrics and SLAs including 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.
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

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.