Associate, Network Contracting & Services – Central Region

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Oscar

51 - 200 employees

🎯 Recruiter

🏢 Enterprise

💰 $140M Private Equity Round on 2020-12

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.

📋 Description

• Implement contracting strategies under the direction of 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. • Supports 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 support informing negotiation and contracting decisions. • Meet defined metrics and SLAs including but not limited to provider outreach and contract completion. • Collaborate with the provider services team regarding the servicing, education and communication to our provider network. • Monitor assigned networks to gauge compliance with standards, developing corrective action plans with network contracting and market leadership to remediate deficiencies. • Compliance with all applicable laws and regulations • Other duties as assigned

🎯 Requirements

• 3+ years of experience in healthcare client management, healthcare consulting, or provider healthcare contracting, healthcare operations, or a related field • 2+ years of experience supporting provider network strategy development and negotiating provider contracts • 1+ years experience running financial analyses on a markets or product lines, and working cross-functionally to support driving improvement opportunities • 1+ years experience navigating and organizing large data sets such as claim files and provider rosters

🏖️ Benefits

• Health insurance • Participation in Oscar's unlimited vacation program • Annual performance bonuses

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