Senior Network Contracting Specialist

Vaga não está no LinkedIn

🕒 Julho 23

🌵 Arizona, Florida, +15 estados a mais – Remoto

🌵 Arizona – 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 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote

💵 $71.539 - $93.895 / ano

⏰ Tempo Integral

🟠 Sênior

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Oscar

SiteLinkedInTodas as Vagas

51 - 200 funcionários

💼 Consultoria

🏗️ Construção

🏥 Saúde

💰 $140.000.000 Private Equity Round em 2020-12

Consulting • Construction • 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 and direct involvement with negotiating contracts with assigned healthcare providers, focusing on favorable terms and compliance with organizational standards, strategy, and regulatory requirements. • Conduct comprehensive reviews and analyses of assigned provider contracts, identifying areas for improvement and optimization. • With support from your leader, utilizes data and analytics of provider financial issues and competitor strategies to inform negotiation and contracting decisions. • Supports implementation of contracting policies and workflows; monitors and ensures effective and efficient contracting processes are in place. • With input and support from their leader, monitor and analyze key metrics for network performance, cost, and provider satisfaction, and provide reports to leadership for assigned provider accounts. • Ensure timely and professional resolution of provider issues • Build and maintain positive relationships with healthcare providers to ensure network stability and quality. • Assist in tracking and analyzing key performance indicators (KPIs) to monitor provider satisfaction and operational efficiency. • Support provider onboarding, training, and resource distribution. • Collaborate with internal teams such as Claims, Credentialing, and Contracting to resolve routine provider issues. • Participate in process improvement initiatives to optimize workflows and enhance provider experience. • Compliance with all applicable laws and regulations (DO NOT REMOVE - REQUIRED) • Other duties as assigned (DO NOT REMOVE - REQUIRED)

🎯 Requisitos

• 2+ years of experience in provider network operations or contracting or provider services • 1+ years of experience in Health Insurance (Individual and/or Medicare Advantage) and/or Healthcare industry • 1+ years experience navigating and organizing large data sets such as claim files and provider rosters • Associate’s degree or equivalent professional working experience.

🏖️ Benefícios

• Health insurance • Unlimited vacation program • Annual performance bonuses