Oscar Health Insurance Co

Manager, Network Contracting (Northeast Region)

Oscar Health Insurance Co$111K — $146K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 4+ years in healthcare network contracting with health systems or hospitals
  • 2+ years managing complex Provider Network strategies
  • 2+ years experience managing people
  • 2+ years in Health Insurance or Healthcare industry
  • Bachelor's degree or equivalent professional experience (preferred)

Responsibilities

  • Implement contracting strategies aligned with network adequacy and cost management goals
  • Manage provider contracts and maintain relationships to ensure compliance
  • Oversee a team of contracting associates, providing leadership and mentorship
  • Conduct comprehensive reviews of provider contracts to identify improvement areas
  • Utilize data analytics for informed contracting decisions
  • Monitor and report on network performance and provider satisfaction
  • Ensure timely resolution of provider-related contract issues

Benefits

  • Medical, dental, and vision benefits
  • 11 paid holidays
  • Paid sick time and parental leave
  • 401(k) plan participation
  • Life and disability insurance
  • Paid wellness time and reimbursements
  • Unlimited vacation program
  • Annual performance bonuses
Full Job Description
Hi We're Oscar. We're hiring a Manager to join our Network Contracting Team.

About the role:

The Manager of Network Contracting is responsible for leading a team of direct reports focused on negotiating, executing, and maintaining 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. This role leverages negotiation skills and working knowledge of provider financial issues to optimize contracts, and collaborates with providers, hospitals and health systems to achieve successful contracting and account management outcomes, all while supporting cost-saving initiatives and the growth of the provider network for a defined market or region.

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

Work Location: This is a remote position based in the field, open to candidates who reside in New York. 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: The base pay for this role is: $111,780 - $146,711 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 contracts and maintain relationships 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.
  • 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.
  • 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.

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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