Associate, National Ancillary Contracting

<p>Hi, we're Oscar. We're hiring an Associate to join our National Ancillary contracting team.</p> <p>Oscar is the first health insurance company built around a full stack technology platform and a relentless 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.</p> <p><strong>About the role:</strong></p> <p>The Associate is crucial to the Specialty Contracting team. This role focuses on recruitment and account management for National Ancillary providers. This ensures access to quality care and optimizes costs by analyzing provider performance and negotiating reimbursement rates, often involving complex contract terms and regulatory compliance. The Associate also supports network growth and recruiting by directly engaging with prospective providers, assisting with provider issue resolution, supporting cost-saving initiatives, helping design and execute the national ancillary network strategy, and ensuring providers have the necessary information and support to deliver excellent member care.</p> <p>You will report into the Senior Director, Specialty Contracting.</p> <p><strong>Work Location:</strong> This is a remote position based in the field, open to candidates who reside:, Arizona, California, Florida, Illinois, Iowa, Kansas, Michigan, Mississippi, Missouri, New York, Nebraska, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, or Virginia. Your daily work will involve a blend of work from your home office and frequent travel for client meetings. #LI-Remote</p> <p><strong>Pay Transparency: </strong>The base pay for this role in New York and California is: $96,876 - $127,149 per year. The base pay for all other locations is: $87,560 - $114,434 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.</p> <p>Travel requirement up to 20%</p> <p><strong>Responsibilities:</strong></p> <ul> <li>Support Implementation of contracting strategies under the direction of Network Director and/or Manager and in partnership with Market Leaders that align with the company's overall network adequacy, development and cost management objectives.</li> <li>Manage and negotiate contracts with assigned healthcare providers, focusing on favorable terms and compliance with organizational standards and regulatory requirements.</li> <li>Negotiate Single Case Agreements (SCA's) and Independent Dispute Resolution (IDR) cases.</li> <li>Serve as a Subject Matter Expert providing guidance and fostering a collaborative and innovative work environment.</li> <li>Supports comprehensive reviews and analyses of assigned provider contracts, identifying areas for improvement and optimization.</li> <li>Utilizes data and analytics of provider financial issues and competitor strategies to support informing negotiation and contracting decisions.</li> <li>Facilitates guidance and mentorship of more junior team members by reiterating strategic objectives, providing training and development opportunities, and fostering a collaborative and innovative work environment</li> <li>Supports implementation of contracting policies and workflows; supports identifying when effective and efficient contracting processes need improvement Meet defined metrics and SLAs including but not limited to provider outreach and contract completion.</li> <li>Collaborate with the provider services team regarding the servicing, education and communication to our provider network.</li> <li>Monitor assigned networks to gauge compliance with standards, developing corrective action plans with network contracting and market leadership to remediate deficiencies.</li> <li><em>Compliance with all applicable laws and regulations</em></li> <li><em>Other duties as assigned</em></li> </ul> <p><strong>Requirements:</strong></p> <ul> <li>3+ years of experience in healthcare client management, ... (truncated, view full listing at source)