Senior Manager, Network Contracting
Oscar
full-time
Posted on:
Location Type: Remote
Location: Remote • Alabama, New York, North Carolina, Tennessee • 🇺🇸 United States
Visit company websiteSalary
💰 $107,280 - $156,450 per year
Job Level
Senior
About the role
- Help inform and drive Implementation of contracting strategies in partnership with Market Leaders that align with the company's overall network adequacy, development and cost management objectives.
- Leads contract settlement negotiations, striving to reach mutually beneficial agreements with providers that maintain and enhance the provider network.
- Manage and negotiate complex contracts, including Value Based Care agreements, with healthcare providers, focusing on favorable terms and compliance with organizational standards and regulatory requirements.
- Oversee a team of contracting managers, 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 provider contracts, identifying and surfacing areas for improvement and optimization to appropriate stakeholders
- Utilizes working knowledge of provider financial issues and competitor strategies to inform negotiation and contracting decisions.
- Drive Implementation across the contracting team of contracting policies and workflows; ensure effective and efficient contracting processes are in place.
- Monitor and analyze key metrics for network performance, cost, and provider satisfaction, and provide reports to leadership.
- Ensure you and your team provide 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
- 6+ years in healthcare network contracting, including executing contracts with health systems, hospitals or national providers, provider relations, or network management
- 4+ years of experience managing complex Provider Network strategies and negotiating complex contracts
- 3+ years of leadership experience
- 3+ years experience in Health Insurance (Individual and/or Medicare Advantage) and/or Healthcare industry
Benefits
- employee benefits
- participation in Oscar's unlimited vacation program
- annual performance bonuses
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
contract negotiationcontract managementValue Based Care agreementsprovider financial analysisnetwork performance analysiscost managementregulatory compliancecontracting policiesworkflow implementationdata analysis
Soft skills
leadershipmentorshipcollaborationstrategic planningcommunicationproblem-solvingteam performance monitoringtraining and developmentrelationship buildinginnovation