Senior Network Contracting Specialist

🕒 il y a 29 jours

🌵 Arizona, Florida, +15 états de plus – Distant

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💵 $71 539 - $93 895 / an

⏰ Temps Plein

🟠 Senior

🦅 Parrain de Visa H1B

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👻 Score fantôme 2%

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🗣️🇺🇸🇬🇧 Anglais requis

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Oscar Health

1001 - 5000 employés

Fondée en 2012

⚕️ Assurance santé

🏥 Santé

🔥 Financement dans la dernière année

💰 €355 000 000 Post-IPO Debt - Oscar Health en 2025-09

Healthcare Insurance • Healthcare

Oscar est une agence de recrutement spécialisée dans les STEM de classe mondiale qui offre des solutions de talents de premier plan. L'entreprise opère sous six marques, connectant les meilleurs talents avec des sociétés dans divers secteurs, y compris la technologie, la construction, les sciences de la vie et les énergies renouvelables. Avec des bureaux dans le monde entier, Oscar est reconnue comme l'une des cinq meilleures entreprises où travailler et s'engage à fournir des services de recrutement d'excellence.

Description

• 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)

🎯 Exigences

• 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.

🏖️ Avantages

• Health insurance • Unlimited vacation program • Annual performance bonuses

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