Manager, National Provider Contracting

Oscar HealthRemote · Posted 3 days ago

Full-timeRemoteEst. 118,411 USD

Description

Hi, we're Oscar. We're hiring a Provider Contracting Manager to join our National Contracting team.

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.

About the role:

The Manager of National 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, National Network Contracting manages an assigned portfolio of large national ancillary providers and/or multi-state health systems across the contracting lifecycle—from market assessment and recruitment through negotiation, implementation, performance management, renewal, and escalation. Working with Network leadership and cross-functional partners, this role translates network access and affordability goals into executable contract strategies; uses financial, claims, and provider data to inform negotiations; and maintains durable provider relationships.

You will report into the Senior Director, Specialty Contracting.

Work Location: This is a remote position based in the field, open to candidates who reside: Alabama, Arizona, California, Florida, Illinois, Iowa, Kansas, Michigan, Mississippi, Missouri, Nebraska, New York, North Carolina, Ohio and Texas. Your daily work will involve a blend of work from your home office and frequent local travel for client meetings. Occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency: Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $111,780 - $146,711 per year. The base pay for this role in all other locations is: $100,602 - $132,040 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

Implement contracting strategies under the direction of Network Director and/or Senior Manager and in partnership with Market Leaders that align with the company's 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 leadership, 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 timely resolution of provider issues related to contract terms, reimbursement, and network participation.
Build and maintain positive relationships with healthcare providers to ensure network stability and quality.
Compliance with all applicable laws and regulations
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

Bonus points:

Bachelor's 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. We're 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.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

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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Manager, National Provider Contracting

Description

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