Senior Specialist, Network Contracting

Job not on LinkedIn

🔥 34 minutes ago

🌵 Arizona, Florida, +1 more states – Remote

🌵 Arizona – Remote 🐊 Florida – Remote 🤠 Texas – Remote

💵 $71.5k - $93.9k / year

⏰ Full Time

🟠 Senior

🛜 Network Engineer / Network Administrator

🦅 H1B Visa Sponsor

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Oscar

WebsiteLinkedInAll Job Openings

51 - 200 employees

💼 Consulting

🏗️ Construction

🏥 Healthcare

💰 $140M Private Equity Round on 2020-12

Consulting • Construction • Healthcare

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

• Negotiate and manage Single Case Agreements with hospital, health system, and individual healthcare providers • Build and maintain a robust provider network in assigned markets or regions • Analyze provider performance and negotiate reimbursement rates, complex contract terms, and regulatory compliance • Recruit new providers and assist with provider issue resolution and cost-saving initiatives • Review and analyze provider contracts to identify improvements and optimization opportunities • Use provider financial data and competitor strategies to inform negotiation and contracting decisions • Support contracting policies, workflows, and efficient contracting processes • Monitor network performance, cost, provider satisfaction, and operational-efficiency metrics; report findings to leadership • Build positive provider relationships and support provider onboarding, training, and resource distribution • Collaborate with Claims, Credentialing, and Contracting teams to resolve routine provider issues • Participate in process improvement initiatives • Ensure compliance with applicable laws and regulations

🎯 Requirements

• 2+ years of experience in provider network operations, contracting, or provider services • 1+ years of experience in individual or Medicare Advantage health insurance and/or the healthcare industry • 1+ years of experience navigating and organizing large data sets such as claim files and provider rosters • Associate’s degree or equivalent professional working experience is listed as a bonus, not a requirement

🏖️ Benefits

• Employee benefits • Unlimited vacation program • Annual performance bonuses • Medical benefits • Dental benefits • Vision benefits • 11 paid holidays • Paid sick time • Paid parental leave • 401(k) plan participation • Life insurance • Disability insurance • Paid wellness time • Wellness reimbursements • Reasonable accommodations during the application process