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About the Role

The Associate, Network Contracting & Services manages contracts with key healthcare providers to build and maintain a robust network, ensuring access to quality care and optimizing costs. This role involves analyzing provider performance, negotiating reimbursement rates, supporting network growth, resolving provider issues, and executing local network strategy.

Responsibilities

• Implement contracting strategies aligned with company objectives for network adequacy, development, and cost management.
• Manage and negotiate contracts with assigned healthcare providers, ensuring favorable terms and compliance.
• Conduct comprehensive reviews and analyses of provider contracts to identify improvement areas.
• Utilize data and analytics on provider finances and competitor strategies to inform negotiation decisions.
• Meet defined metrics and SLAs, including provider outreach and contract completion.
• Collaborate with the provider services team for network servicing, education, and communication.
• Monitor assigned networks for compliance and develop corrective action plans for deficiencies.
• Ensure compliance with all applicable laws and regulations.
• Perform other duties as assigned.

Requirements

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

Location

• New York City

Work Type

• Hybrid

Education Level

• Associate’s degree or equivalent professional working experience.

Salary/Compensations

• $96,876 - $127,149 per year

Benefits

• Employee benefits
• Oscar's 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 and reimbursements

About the Company

• Oscar is the first health insurance company built around a full stack technology platform and a relentless 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.

Equal Opportunity

• 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. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.