FreshRemote.Work

Manager, Market P&L (NC & SC)

Remote

Hi, we're Oscar. We're hiring a Manager, Market P&L to join our Market P&L team.

Oscar is the first health insurance company built around a full stack technology platform and a 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, Market P&L supports membership growth and management, by executing the local network strategy and ensuring providers across our service area have the information and support they need to provide best-in-class member care and drive quality outcomes. 

You will report to the Director, Market P&L. 

Work Location: 

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

You must reside in North or South Carolina and be willing to travel up to 40% within the two states #LI-Remote

Pay Transparency:

The base pay for this role is: $97,200 - $127,575 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program, annual performance bonuses.

Responsibilities

  • Manage the network development, provider contracting and key provider account relationship management for assigned market(s).
  • Manage a network construction plan developed for assigned market(s).
  • Generate industry relationships and outreach directly to potential network partners to coordinate growth efforts.
  • Support overall contract negotiations and strategies to bring new partners into the network.
  • Support and/or manage team members responsible for the servicing, education and communication to the provider network.
  • Execute and help identify and guide team and org wide initiatives to improve quality and financial performance..
  • Monitor assigned partners to gauge compliance with standards, implementing corrective actions to remediate deficiencies.
  • Help inform key business strategies to achieve market goals and mitigate risks.
  • Compliance with all applicable laws and regulations.
  • Other duties as assigned.

Qualifications

  • Bachelor’s degree, or 4 years equivalent work experience.
  • 4+ years of professional experience in healthcare client management, healthcare consulting, or provider healthcare contracting, healthcare finance, performance management, healthcare operations, or a related field.
  • 2+ years experience in process improvement and workflow design.
  • 2+ years experience running financial analyses on markets or product lines, and working cross-functionally to drive improvement opportunities and increase growth and profitability.

Bonus Points

  • Affordable Care Act (ACA) marketplace, quality of care, and population health experience.
  • Bilingual (Spanish)

 

Travel

  • Up to 40% 

 

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.

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.

California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Notice to Job Applicants.

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Job Profile

Restrictions

California Must reside in North Carolina or South Carolina South Carolina Willing to travel up to 40%

Benefits/Perks

11 paid holidays 401(k) participation Annual performance bonuses Dental benefits Disability Insurance Employee benefits Life and Disability insurance Life Insurance Medical benefits Medical, dental, and vision benefits Paid holidays Paid parental leave Paid sick time Paid wellness time Paid wellness time and reimbursements Performance bonuses Unlimited Vacation Unlimited vacation program Vision Benefits

Tasks
  • Compliance
  • Compliance with all applicable laws and regulations
  • Execute initiatives
  • Generate industry relationships
  • Inform business strategies
  • Key provider account management
  • Manage network development
  • Manage team members
  • Monitor partner compliance
  • Other duties as assigned
  • Process Improvement
  • Provider contracting
  • Relationship Management
  • Support contract negotiations
Skills

Bilingual (Spanish) Communication Compliance Consulting Cross-functional Collaboration Design Finance Financial analysis Financial Performance Healthcare Healthcare client management Healthcare Consulting Healthcare Contracting Healthcare finance Healthcare operations Health Insurance Network Strategy Operations Performance Management Process Improvement Provider Contracting Provider healthcare contracting Relationship Management Spanish Strategy Technology Technology Platform Workflow Design

Experience

4 years

Education

Bachelor's degree Business Finance Related Field