Hi, were Oscar. Were hiring a Manager, Network Contracting to join our Network team.

Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role

The Manager, Network Contracting is responsible for leading a team of direct reports focused on negotiating, executing, and analyzing contracts with large, national and/or complex healthcare group/system providers, focusing on maintaining and enhancing the provider network while meeting accessibility, quality, and financial goals. The Manager, Network Contracting handles dispute resolution and settlement negotiations, ensuring compliance with company standards and regulatory requirements. This role leverages and working knowledge of provider financial issues to optimize contracts, and collaborates with providers, hospitals and health systems to achieve successful contracting outcomes, all while supporting cost-saving initiatives and the growth of the provider network for a defined market or region.

You will report to the.Director, Network Contracting & Services

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.

You must reside in one of the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. ## LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $108,000.00 - $141,750.00 per.year The base pay for this role in all other locations is: $97,200.00 - $127,575.00 per year You are also eligible for employee benefits, monthly vacation accrual at a rate of 15 days per year. And an annual performance bonus.

Responsibilities

Implement contracting strategies under the direction of Network Director and/or Senior Manager and in partnership with Market Leaders that align with the companys 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.
Oversee a small team of contracting associates and specialists, facilitating guidance, and mentorship by setting strategic objectives, monitoring team performance, providing training and development opportunities, and fostering a collaborative and innovative work environment.
Conducts 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 inform negotiation and contracting decisions and to support the team in doing so.
Key player in implementation of contracting policies and workflows; monitors and ensures effective and efficient contracting processes are in place.
Monitor key metrics for network performance, cost, and provider satisfaction, and provide reports to leadership for assigned accounts.
Ensure you and your team are providing resolution of provider issues related to contract terms, reimbursement, and network participation.
Build relationships with healthcare providers to ensure network stability and quality.
Ability to travel up to 50%
Compliance with all applicable laws and regulations
Other duties as assigned

Qualifications

4+ years in healthcare network contracting, including executing contracts with health systems, hospitals or national providers, provider relations, or network management

2+ years of experience managing complex Provider Network strategies and negotiating complex contracts

2+ years of people management experience
2+ years experience in Health Insurance (Individual and/or Medicare Advantage) and/or Healthcare industry

Bonus Points

Bachelors 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 applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

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