Oscar Health Insurance Co

Coordinator, Behavioral Health Vendor Management

Oscar Health Insurance Co$75K — $98K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 2+ years of relevant experience in behavioral health coordination or vendor management.
  • Familiarity with claim testing and Quality Assurance (QA) practices is preferred.
  • Experience using a ticketing system, such as Jira.
  • Proficient in analytical tools, including Microsoft Office and Google Suite.
  • Understanding of ACA/health exchange insurance landscape is advantageous.

Responsibilities

  • Oversee implementation and monitoring of behavioral health vendor services.
  • Manage and resolve inbound escalations by identifying root causes and communicating solutions.
  • Coordinate and respond to internal and external audit requests with stakeholders.
  • Facilitate business alignment by providing support to program leads across functions.
  • Ensure compliance with all relevant laws and regulations.

Benefits

  • Medical, dental, and vision benefits.
  • 11 paid holidays and paid sick time.
  • Paid parental leave and wellness program reimbursements.
  • 401(k) plan participation with employer match.
  • Participation in Oscar's unlimited vacation program.
Full Job Description
Hi, we're Oscar. We're hiring a Coordinator, Behavioral Health Vendor Management to join our Network Contracting team.

About the role:

The Coordinator, Behavioral Health Vendor Management works closely with stakeholders to support various project/program related tasks of varying sizes, as well as individual work on small scale projects, related to Oscar's delegated vendors.

You will report into the Director, Network Contracting.

Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid

Pay Transparency: The base pay for this role is: $75,348 - $98,894 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:
  • Oversee program implementation including configuration, testing, and monitoring of all elements of services administered by our vendors/stakeholders.
  • Manage inbound escalations, validate the issue, identify root cause, and communicate timely resolution to stakeholders
  • Review internal and external audit requests and coordinate with vendors and/or project stakeholders as required.
  • Support business alignment and oversight with key stakeholders by providing cross-program support to program leads.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:
  • 2+ years of relevant experience

Bonus points:
  • Experience with claim testing and Quality Assurance (QA)
  • Experience with ticketing system (such as Jira)
  • Experience with payers offering ACA/health exchange insurance
  • Experience using analytical tools, including Microsoft Office and Google Suite


This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

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.

About Oscar Health Insurance Co

Oscar Health Insurance Co. is a technology-driven health insurance company founded in 2012 and headquartered in New York City. The company offers individual and family health insurance plans, as well as Medicare Advantage plans. Oscar Health Insurance Co. uses technology to simplify the health insurance experience for its customers, including a mobile app that allows customers to manage their health insurance policies and access telemedicine services. The company has raised over $1 billion in funding and is valued at over $5 billion.
Learn more about Oscar Health Insurance Co
Size
4,000 employees
Market Cap
$466 million
Industry
Founded
2012
NASDAQ

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