Senior Network Specialist
Senior Network Specialist
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Job Description
Hi were Oscar. Were hiring a Senior Network Specialist to join our Provider Network team.
About the role
The Senior Network Specialist is responsible for negotiating and managing contracts with healthcare providers (hospital/health system and individual) to build and maintain a robust network in assigned market/region; while also ensuring access to quality care and optimizing costs by analyzing provider performance and reimbursement rates often involving complex contract terms and compliance with regulatory guidelines. The Senior Specialist also plays a role in recruiting new providers to the network assisting with resolution of provider issues and supporting cost-saving initiatives.
You will report into the Manager P&L.
Work Location:
This is a remote position. You must reside in Tennessee or Georgia. #LI-Remote
Pay Transparency:
The base pay for this role is: $69120.00- $90720.00 per year. You are also eligible for employee benefits monthly vacation accrual at a rate of 10 days per year. And an annual performance bonus.
Responsibilities
- Support and direct involvement with negotiating contracts with assigned healthcare providers focusing on favorable terms and compliance with organizational standards strategy and regulatory requirements.
- Conducts 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 and professional resolution of provider issues And build relationships with healthcare providers to ensure network stability and quality.
- Help track and analyze measurements 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 programs to increase workflows and enhance provider experience.
- Compliance with all applicable laws and regulations.
- Other responsibilities as assigned.
- Up to 20% travel required.
Qualifications
- 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
Bonus
- Associates degree or equivalent professional working experience.
This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.
At Oscar being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. Were on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
Pay Transparency: Final offer amounts within the base pay set forth above are determined by factors including your relevant skills education and experience. Full-time employees are eligible for benefits including: medical dental and vision benefits 11 paid holidays paid sick time paid parental leave 401(k) plan participation life and disability insurance and paid wellness time and reimbursements.
Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications without regard to applicants disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known.
Artificial Intelligence (AI) Guidelines: Please see our AI Guidelines for the acceptable use of artificial intelligence during the interview process at Oscar.
California Residents: For information about our collection use and disclosure of applicants personal information as well as applicants rights over their personal information please see our Notice to Job Applicants.
Required Experience:
Senior IC
Employment Type
Full-Time
