Associate, National Provider Contracting

🕒 Outubro 19

🏈 Alabama, Arizona, +13 estados a mais – Remoto

🏈 Alabama – Remote 🌵 Arizona – Remote 🏄 California – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🌾 Nebraska – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🚗 Michigan – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🤠 Texas – Remote

💵 $87.188 - $114.434 / ano

⏰ Tempo Integral

🟡 Pleno

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Esta empresa já patrocinou vistos H1B no passado.

👻 Score fantasma 0%

O que significa: a chance de ninguém estar realmente contratando para esta vaga.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Por que essa pontuação:

• Aberta há 24 dias.
• As vagas desta empresa costumam ser preenchidas em 26 dias.

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Oscar Health

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2012

⚕️ Seguro de Saúde

🏥 Saúde

💰 $355.000.000 Post-IPO Debt - Oscar Health em 2025-09

Healthcare Insurance • Healthcare

Oscar é uma agência de recrutamento STEM de classe mundial que oferece soluções de talentos líderes do setor. A empresa opera em seis marcas, conectando talentos de ponta com empresas em vários setores, incluindo tecnologia, construção, ciências da vida e energia renovável. Com escritórios ao redor do mundo, Oscar é reconhecida como uma das cinco melhores empresas para se trabalhar e está comprometida em oferecer excelência em serviços de recrutamento.

Descrição

• Support the development and execution of national contracting strategies for large ancillary providers and/or health systems • Manage an assigned portfolio across the full contracting lifecycle, including prospecting, evaluation, negotiation, implementation, performance management, renewal, and termination • Prepare for and negotiate complex provider agreements covering reimbursement, operational, data-sharing, performance, and compliance terms • Coordinate contract implementation with Legal, Finance, Provider Operations, Claims, Credentialing, Configuration, Compliance, and Market teams • Build and maintain relationships with provider contracting and operational leaders • Lead routine business reviews, resolve escalated issues, and coordinate corrective action plans • Analyze claims, utilization, reimbursement, provider roster, market, and competitive data to develop negotiation positions and quantify financial impact • Monitor assigned networks and provider performance for access, adequacy, quality, cost, and contractual compliance • Escalate risks and support remediation with Network and Market leadership • Maintain accurate contracting pipeline, status, documentation, and provider data • Meet defined service-level agreements and performance metrics for outreach, negotiations, and contract completion • Comply with all applicable laws and regulations • Perform other duties as assigned • Report to the Senior Director, Specialty Contracting

🎯 Requisitos

• 3+ years of experience in provider contracting, provider network management, healthcare consulting, healthcare operations, or a related field • 2+ years of experience supporting provider network strategy and negotiating provider agreements • Demonstrated experience managing complex, multi-stakeholder contracting work from analysis and negotiation through implementation and ongoing performance management • Experience building effective relationships with provider contracting and operational leaders and communicating recommendations to internal stakeholders • 1+ years of experience performing financial analysis for healthcare markets, provider contracts, or product lines and translating findings into negotiation or improvement opportunities • 1+ years of experience working with large data sets, such as claims, utilization, fee schedules, contract inventories, and provider rosters • Bachelor's degree in business, healthcare administration, finance, economics, or a related field, or equivalent professional experience • Experience contracting with national ancillary provider organizations, multi-state provider groups, or large health systems • Working knowledge of provider reimbursement methodologies, contract language, claims data, network adequacy, and provider operations • Must reside in Alabama, Arizona, California, Florida, Illinois, Iowa, Kansas, Michigan, Mississippi, Missouri, Nebraska, New York, North Carolina, Ohio, or Texas

🏖️ Benefícios

• Annual performance bonuses • Employee benefits • Oscar's unlimited vacation program • Medical benefits • Dental benefits • Vision benefits • 11 paid holidays • Paid sick time • Paid parental leave • 401(k) plan participation • Life insurance • Disability insurance • Paid wellness time • Wellness reimbursements • Occasional travel for team meetings and company events

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