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.
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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 suite equivalent)
- Experience in payer or provider healthcare contracting
Bonus Points
- Experience negotiating contracts, specifically with ancillaries, facilities, specialty providers, and physician groups
- 1+ years of experience in a client facing or customer support capacity
- 1+ experience with project management
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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.