Senior Network Contracting Specialist

Job not on LinkedIn

🕒 July 23

🌵 Arizona, Florida, +15 more states – Remote

🌵 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

💵 $71.5k - $93.9k / year

⏰ Full Time

🟠 Senior

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Oscar Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2012

⚕️ Healthcare Insurance

🏥 Healthcare

🔥 Funding within the last year

💰 $355M Post-IPO Debt - Oscar Health on 2025-09

Healthcare Insurance • Healthcare

Oscar Health is a technology-driven health insurance company that provides individual, family, and small-group health plans in multiple U. S. states. Oscar combines traditional insurance underwriting with digital-first services — a consumer-facing app, 24/7 virtual urgent care, prescription delivery (including $3 meds in many plans), and dedicated Care Teams — and also operates Oscar Primary Care in some markets. The company emphasizes accessible, affordable, high-quality care and uses AI to improve member experience and care delivery. Insurance policies are underwritten by Oscar's state insurance subsidiaries and the company offers both HMO and other plan types across its markets.

📋 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)

🎯 Requirements

• 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.

🏖️ Benefits

• Health insurance • Unlimited vacation program • Annual performance bonuses