Senior Manager, Network Contracting & Services

Job not on LinkedIn

October 28

🏖️ New Jersey – Remote

Although this job is listed in New Jersey, 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.

+3 more states

🏖️ New Jersey – Remote 🗽 New York – Remote 🏈 Ohio – Remote 🔔 Pennsylvania – Remote ⚔️ Virginia – Remote

💵 $107.3k - $156.4k / year

⏰ Full Time

🟠 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

• Help inform and drive Implementation of contracting strategies in partnership with Market Leaders that align with the company's overall network adequacy, development and cost management objectives. • Leads contract settlement negotiations, striving to reach mutually beneficial agreements with providers that maintain and enhance the provider network. • Manage and negotiate complex contracts, including Value Based Care agreements, with healthcare providers, focusing on favorable terms and compliance with organizational standards and regulatory requirements. • Oversee a team of contracting managers, associates and 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 provider contracts, identifying and surfacing areas for improvement and optimization to appropriate stakeholders • Utilizes working knowledge of provider financial issues and competitor strategies to inform negotiation and contracting decisions. • Drive Implementation across the contracting team of contracting policies and workflows; ensure effective and efficient contracting processes are in place. • Monitor and analyze key metrics for network performance, cost, and provider satisfaction, and provide reports to leadership. • Ensure you and your team provide 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

• 6+ years in healthcare network contracting, including executing contracts with health systems, hospitals or national providers, provider relations, or network management • 4+ years of experience managing complex Provider Network strategies and negotiating complex contracts • 3+ years of leadership experience • 3+ years experience in Health Insurance (Individual and/or Medicare Advantage) and/or Healthcare industry

🏖️ Benefits

• Health insurance • Employee benefits • Unlimited vacation program • Annual performance bonuses