Manager, Network Contracting

Job not on LinkedIn

November 25

🏈 Alabama – Remote

Although this job is listed in Alabama, this company may be open to hiring remote in other states.

🗽 New York – Remote

Although this job is listed in New York, this company may be open to hiring remote in other states.

+2 more states

🏈 Alabama – Remote 🗽 New York – Remote 🎸 Mississippi – Remote 🎸 Tennessee – Remote

💵 $97.2k - $127.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

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Oscar

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Recruitment • Enterprise

Oscar is a world-class specialist STEM recruitment agency that provides industry-leading talent solutions. The company operates across six brands, connecting top talent with companies in various sectors including technology, construction, life sciences, and renewable energy. With offices across the globe, Oscar is recognized as a top-five company to work for and is committed to delivering excellence in staffing services.

51 - 200 employees

🎯 Recruiter

🏢 Enterprise

💰 $140M Private Equity Round on 2020-12

📋 Description

• Implement contracting strategies under the direction of Southeast Region's Network Director and/or Senior Manager and in partnership with Market Leaders that align 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. • Maintain provider relationships with leadership and day to day to points of contact with strategic and high-volume health systems, hospitals, and provider groups; triage and problem solve as operational or financial issues arise • Oversee a small team of contracting specialists, facilitating leadership, guidance, and mentorship by setting strategic objectives, monitoring team performance, providing training and development opportunities, and fostering a collaborative and innovative work environment. • Conducts 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 inform negotiation and contracting decisions and to support the team in doing so. • Key player in implementation of contracting policies and workflows; monitors and ensures effective and efficient contracting processes are in place. • Monitor key metrics for network performance, cost, and provider satisfaction, and provide reports to leadership for assigned accounts. • Ensure you and your team are providing timely resolution of provider issues related to contract terms, reimbursement, and network participation. • Build and maintain positive relationships with healthcare providers to ensure network stability and quality. • Compliance with all applicable laws and regulations • Other duties as assigned

🎯 Requirements

• 4+ years in healthcare network contracting, including executing contracts with hospitals or large regional providers, provider relations, or provider network management • 2+ years of experience managing complex Provider Network strategies and negotiating complex contracts, and/or managing enterprise accounts in the healthcare sector • 2+ years of people management experience • 2+ years experience in Health Insurance (Individual and/or Medicare Advantage) and/or Healthcare industry

🏖️ Benefits

• employee benefits • participation in Oscar's unlimited vacation program • annual performance bonuses