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Oscar Health Insurance logo
Oscar Health Insurance

Operating on the belief that healthcare is broken, Oscar Health Insurance is on a mission to reinvent and humanize the industry by combining technology, design,

Manager, Network Contracting & Services

Location

United States

Posted

102 days ago

Salary

0

No structured requirement data.

Job Description

Manager, Network Contracting & Services

Oscar Health Insurance

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Hi, we're Oscar. We're hiring a Manager, Network Contracting & Services to join our Northeast Network team. You will be responsible for leading a team of direct and indirect reports focused on: - Negotiating, executing, and analyzing contracts with large, national and/or complex healthcare group/system providers. - Maintaining and enhancing the provider network while meeting accessibility, quality, and financial goals. - Handling dispute resolution and settlement negotiations, ensuring compliance with company standards and regulatory requirements. - Leveraging extensive negotiation skills and working knowledge of provider financial issues to optimize contracts. - Collaborating with providers, hospitals, and health systems to achieve successful contracting outcomes. - Supporting cost-saving initiatives and the growth of the provider network for a defined market or region. You will report into the Director, Northeast Network. Work Location: This is a remote position based in the field, open to candidates who reside in: Ohio, Michigan, or Pennsylvania. 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. #LI-Remote Travel Expectation: 15% Pay Transparency: The base pay for this role is: $100,060 - $132,040 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. Responsibilities - Help inform and drive implementation of contracting strategies in partnership with Market Leaders. - Lead contract settlement negotiations, striving to reach mutually beneficial agreements with providers. - Manage and negotiate complex contracts with healthcare providers, focusing on favorable terms and compliance. - Work cross-functionally with a team of contracting managers, associates, and specialists. - Conduct comprehensive reviews and analyses of provider contracts, identifying areas for improvement. - Utilize working knowledge of provider financial issues and competitor strategies to inform decisions. - Drive implementation of contracting policies and workflows; ensure effective contracting processes are in place. - Monitor and analyze key metrics for network performance, cost, and provider satisfaction. - Ensure timely resolution of provider issues related to contract terms, reimbursement, and network participation. - Build and maintain positive relationships with healthcare providers. - Compliance with all applicable laws and regulations. - Other duties as assigned. Qualifications - 6+ years in healthcare network contracting, including executing contracts with health systems, hospitals, or national providers. - 4+ years of experience managing complex Provider Network strategies and negotiating complex contracts. - 3+ years experience in Health Insurance (Individual and/or ACA Market Place) and/or Healthcare industry. Bonus Points - Bachelor's degree or equivalent professional working experience. - 3+ years of leadership 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.

Job Requirements

  • 6+ years in healthcare network contracting, including executing contracts with health systems, hospitals, or national providers.
  • 4+ years of experience managing complex Provider Network strategies and negotiating complex contracts.
  • 3+ years experience in Health Insurance (Individual and/or ACA Market Place) and/or Healthcare industry.
  • Bonus Points
  • Bachelor's degree or equivalent professional working experience.
  • 3+ years of leadership 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.

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