Senior Network Contracting Specialist

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🌵 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

🛜 Network Engineer / Network Administrator

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Oscar

WebsiteLinkedInAll Job Openings

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

• 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