• Managing the overall care management of patient panel by leveraging experience, expertise, and knowledge in both the nursing field and value-based care operations. • Establishing trusting and empathetic relationships with patients and families to provide clinical and emotional support and foster collaboration throughout their care journey. • Serving as an advocate and community liaison for patients to ensure proper and timely resources and support while navigating the health care system and maintaining compliance with the primary care team’s/nephrologist’s treatment plan. • Performing assessments and identifying the needs, including social determinants of health, of panel patients and caregivers based on values, care goals, and individual preferences, and translating these into patient-centric actionable care plans through comprehensive evaluations. • Coordinating the interdisciplinary approach to achieving continuity of care and reducing fragmentation, focusing on kidney disease progression management, utilization management, and provider coordination through active care plan management. • Monitoring and evaluating the effectiveness of care management plans regularly, modifying interventions as necessary. • Following evidence-based care management guidelines and established workflow protocols to deliver high quality, efficient, patient-centered care that aligns with Evergreen’s goals, quality metrics, and regulatory and payer requirements. • Collaborating with physician partners, community providers, APPs, and other clinical disciplines to create, implement, and manage integrated care plans. • Identifying cost-effective measures for patients that support value-based care goals of improving patient outcomes and quality while effectively managing resource utilization. • Facilitating patient and caregiver education on treatment options and empowering patients to make informed decisions about their care. • Supporting seamless transitions of care as patients move between care settings, proactively addressing potential barriers and collaborating with IDTs. • Actively participating in clinical huddles, and patient care conferences for patients under your care management as needed. • Engaging in continuous, organizational process improvement to identify opportunities for improvement and execute action plans to optimize care management workflows, patient engagement processes, customer/patient care efforts, and other protocols. • Preparing reports and other deliverables to communicate program changes or developments to appropriate stakeholders. • Collecting data to prepare and deliver reports alongside program leaders on program success, patient outcomes, and patient/caregiver satisfaction. • Other duties consistent with this role, as assigned.

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.

• Provide people management and strategic leadership to our implementation team including: new group implementation assignments, new group implementation go live audits, and implementation documentation. • Oversees and supports multiple implementation projects. May directly lead the largest or most-complex client implementations and channel partner implementations. • Ensures that implementations are completed on time, within budget, and meet client expectations. • Provides input to strategic decisions that affect the implementation processes and team members. • Develops and implements policies, procedures and training including: client on-boarding, process documentation, testing, troubleshooting, and client training. • Build a strong and cohesive team by providing leadership to direct reports through coaching, setting strategic direction and applying working knowledge of systems and procedures. • Accountable for customer satisfaction of the client implementation. • Support sales in finalist meetings, representing the SmithRx approach to delivering high-touch implementation support. • Maintain a comprehensive understanding of business challenges faced by customers. • Manage cross-functional issue resolution for client escalations, ensuring internal and external teams are coordinated as necessary. • 10% travel may be required.

• Negotiate simple and complex customer, commercial, and strategic agreements, including GPO, IDN, Data Privacy/Security, Clinical Study, partnership, and vendor agreements, in a diplomatic manner that protects the company and balances business, financial, and legal objectives. • Keep Legal, Sales, Operations, and Executive personnel apprised of legal and healthcare compliance issues (e.g., AKS/Stark) and negotiated terms, applying a working knowledge of how contract terms impact Revenue Recognition. • Tackle complex problems of broad scope where analysis requires an in-depth evaluation of various factors. Work in collaboration with the Head of Contracts while exercising independent judgment in escalating issues. • Serve as a power user for the Ironclad CLM; identify opportunities to automate workflows, improve template modularity, and streamline the quote-to-contract lifecycle. • Lead the development, implementation, and communication of process improvements. Enforce existing contracting rules and provide a clear conduit for the resolution of legal questions. • Develop and maintain in-depth knowledge of business unit operations and strategic goals, applying this knowledge when drafting and negotiating to ensure contracts support Ceribell’s growth. • Identify significant legal issues in incoming deals and partner with stakeholders to prioritize drafting and review. Manage workflows to ensure contracts are delivered timely and accurately in a fast-paced, changing environment. • Other responsibilities as assigned by your Manager.