FreshRemote.Work

Senior Manager of Network Contracting

Remote

Hi, we're Oscar. We're hiring a Senior Manager to join our Network Contracting 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 Senior Manager of Network Contracting leads a team focused on building and maintaining relationships with healthcare providers, negotiating contracts, and ensuring that provider agreements align with our goals and regulatory requirements. You will emphasize daily management of contracting operations, provider relations and contract execution for a defined market or region.

You will report to the Vice President, Network Management.

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.

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.

You must reside in one of the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $119,200 - $156,450 per year. The base pay for this role in all other locations is: $107,280 - $140,805 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

 

Responsibilities

  • Implement contracting strategies in partnership with Market Leaders that align with our overall network development and cost management goals.
  • Manage and negotiate contracts with healthcare providers, focusing on favorable terms and compliance with organizational standards and regulatory requirements.
  • Oversee a team of contracting specialists providing direction, coaching, and performance management.
  • Implement contracting policies and workflows; ensure effective and efficient contracting processes are in place.
  • Monitor and analyze important metrics for network performance, cost, and provider satisfaction, and provide reports to leadership.
  • Ensure resolution of provider issues related to contract terms, reimbursement, and network participation.
  • Build relationships with healthcare providers to ensure network stability and quality.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Qualifications

  • 6+ years in healthcare contracting,  provider relations, or network management
  • 3+ years of leadership experience

Travel Required

  • 20% Travel

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

Arizona California Colorado Commutable distance to office required for some Connecticut Florida Georgia Illinois Iowa Kentucky Maine Maryland Massachusetts Michigan Minnesota Missouri Must reside in one of the following states Must reside in specified states Nevada New Hampshire New Jersey New Mexico New York North Carolina Ohio Oregon Pennsylvania Rhode Island South Carolina Tennessee Texas Utah Vermont Virginia Washington

Benefits/Perks

11 paid holidays 401k plan participation Annual performance bonuses Dental Disability Insurance Employee benefits Life and Disability insurance Medical 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 Vision Benefits

Tasks
  • Build provider relationships
  • Compliance
  • Compliance with all applicable laws and regulations
  • Implement contracting strategies
  • Manage contracts
  • Monitor network performance
  • Negotiate contracts
  • Other duties as assigned
  • Oversee contracting team
  • Resolve provider issues
Skills

C Coaching Compliance Contracting Contracting Strategies Contract Negotiation Cost Management Data analysis Education Healthcare Healthcare contracting Health Insurance Insurance Leadership Management Metrics Network Contracting Network development Network management Network performance Operations Performance Management Provider Relations Regulatory Regulatory requirements Relationship building Team Leadership Technology Technology Platform

Experience

6 years

Education

Healthcare Technology