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Oscar Health

Associate, Network Contracting & Services (Florida)

OtherContractJunior
Location
Worldwide
Job Type
Contract
Experience
Junior
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Job Description

ABOUT THE ROLE We're Oscar, a health insurance company built around a full stack technology platform and a relentless focus on serving our members. We're hiring an Associate to join our Network Contracting & Services team, responsible for managing contracts with key healthcare providers to build and maintain a robust network in assigned markets/regions. The Associate will ensure access to quality care, optimize costs, and negotiate reimbursement rates while analyzing provider performance and compliance with regulatory guidelines. WHAT YOU'LL DO As an Associate, Network Contracting & Services, you will: - Implement contracting strategies under the direction of the Network Director and/or Senior Manager, aligning with the company's overall network adequacy, development, and cost management objectives. - 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 to inform negotiation and contracting decisions. - 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, developing corrective action plans with network contracting and market leadership to remediate deficiencies. - Ensure compliance with all applicable laws and regulations. - Perform other duties as assigned. WHAT YOU'LL NEED To be successful in this role, you will need: - 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 of experience running financial analyses on markets or product lines, and working cross-functionally to support driving improvement opportunities. - 1+ years of experience navigating and organizing large data sets such as claim files and provider rosters. WHY REMOTE This is a remote position based in the field, open to candidates who reside in Florida. Your daily work will involve a blend of work from your home office and frequent local travel for client meetings. BENEFITS - Base pay: $87,188 - $114,434 per year. - Eligibility for employee benefits, including medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. - Unlimited vacation program and annual performance bonuses.