Associate, Network Contracting

Summary

Join Oscar, a health insurance company built on a technology platform, as an Associate, Network Contracting. This role involves building relationships with network providers, ensuring compliance with regulations, and refining contract terms to align with strategic goals. You will contribute to network strategy development and execution, focusing on market opportunities and pain points in the Northeast. This is a remote position with the option to work from the New York City, Tempe, or Los Angeles offices at least two days a week. You must reside in one of the specified states, and the base pay varies depending on location. The position offers benefits such as health insurance, paid time off, parental leave, 401(k) plan participation, life and disability insurance, and wellness programs.

Requirements

• 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 a markets or product lines, and working cross-functionally to support improving opportunities

Responsibilities

• 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 and work environment
• Supports comprehensive reviews and analyses of assigned provider contracts, identifying areas for improvement and optimization
• Utilizes data and analytics of provider financial issues and competitor strategies to support informing negotiation and contracting decisions
• Facilitates guidance and mentorship of more junior team members by reiterating strategic goals, providing training and development opportunities, and promoting a collaborative and work environment
• Supports implementation of contracting policies and workflows;  supports 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

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