Senior Provider Network Specialist (Texas)

Hi, we're Oscar. We're hiring a Senior Provider Network Specialist to join our Market P&L - Texas 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 Provider Network Specialist supports membership growth and management within the Texas market. This is done 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. The Senior Provider Network Specialist provides subject matter expertise and analysis to support more complex contracts reviews and analysis.

You will report into the Manager, Market P&L - Texas

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 one of the following state(s): Texas. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role is: $69,120 - $90,720 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program and annual performance bonuses.

Responsibilities

• Support the design and execution of a network construction plan for a market / several markets with support from your manager
• Act as a Subject Matter Expert to identify, source, and contract with providers in a region
• Support overall contract negotiations, working with your manager to align with contracting strategies, to bring new partners into our network.
• Be the Subject Matter Expert on core operational workflows and tools in order to identify, synthesize and flag trends for escalation.
• Document and share feedback, objections and questions, and identify trends, to support the continuous improvement of templates and processes.
• Support the team on additional improvement initiatives as identified
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• Bachelor's Degree or 4+ years of relevant work experience
• 1+ years of work experience in provider or payer contracting, network operations, or a related field
• 1+ years of experience with Word, Excel, and Powerpoint (or Google …