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About the Role
The Manager of Network Contracting leads a team focused on negotiating and analyzing contracts with large healthcare providers to enhance the network while meeting accessibility, quality, and financial goals. This role involves dispute resolution, ensuring compliance, optimizing contracts through negotiation and financial analysis, and supporting cost-saving initiatives and network growth.
Responsibilities
- Implement contracting strategies aligned with company objectives for network adequacy, development, and cost management.
- Manage and negotiate contracts with healthcare providers, ensuring favorable terms and compliance.
- Oversee a team of contracting associates, providing leadership, setting objectives, monitoring performance, and fostering development.
- Conduct comprehensive reviews and analyses of provider contracts to identify areas for improvement.
- Utilize data and analytics of provider financial issues and competitor strategies to inform negotiation decisions.
- Implement and monitor contracting policies and workflows for efficiency.
- Monitor key metrics for network performance, cost, and provider satisfaction, reporting to leadership.
- Ensure timely resolution of provider issues related to contract terms, reimbursement, and network participation.
- Build and maintain positive relationships with healthcare providers.
- Ensure compliance with all applicable laws and regulations.
- Perform other duties as assigned.
Requirements
- 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.
- Bachelor's degree or equivalent professional working experience.
Skills
- Negotiation skills
- Working knowledge of provider financial issues
- Data and analytics
Location
- Remote
- New Jersey
- New York
- Pennsylvania
- Virginia
Work Type
- Remote
- Full-time
Experience Level
- Manager
Education Level
- Bachelor's degree or equivalent professional working experience
Salary/Compensations
- New York and New Jersey: $111,780 - $146,711 per year
- All other locations: $100,602 - $132,040 per year
Benefits
- 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
- Unlimited vacation program
- Annual performance bonuses
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.