Manager, Network Contracting (Texas)

Responsibilities:</strong></p> <ul> <li>Implement contracting strategies under the direction of Network Director and/or Senior 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>Oversee a small team of contracting associates and specialists, facilitating leadership, guidance, and mentorship by setting strategic objectives, monitoring team performance, providing training and development opportunities, and fostering a collaborative and innovative work environment.</li> <li>Conducts 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 inform negotiation and contracting decisions and to support

the team in doing so.</li> <li>Key player in implementation of contracting policies and workflows; monitors and ensures effective and efficient contracting processes are in place.</li> <li>Monitor key metrics for network performance, cost, and provider satisfaction, and provide reports to leadership for assigned accounts.</li> <li>Ensure you and your team are providing timely resolution of provider issues related to contract terms, reimbursement, and network participation.</li> <li>Build and maintain positive relationships with healthcare providers to ensure network stability and quality.</li> <li>Compliance with all applicable laws and regulations</li> <li>Other duties as assigned</li> </ul> <p><strong>

Requirements:</strong></p> <ul> <li>4+ years in healthcare network contracting, including executing contracts with health systems, hospitals or national providers,  provider relations, or network management</li> <li>2+ years of experience managing complex Provider Network strategies and negotiating complex contracts</li> <li>2+ years of people management experience</li> <li>2+ years experience in Health Insurance (Individual and/or Medicare Advantage) and/or Healthcare industry</li> </ul> <p><strong>

Bonus points:</strong></p> <ul> <li>Bachelor's degree or equivalent professional working experience</li> </ul><div class="content-conclusion"><p><span style="font-weight: 400;">This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud</span><a href="http://hioscar.com/careers/recruitment-fraud-alert"><span style="font-weight: 400;"> </span><span style="font-weight: 400;">here</span></a><span style="font-weight: 400;">. </span></p> <p><span style="font-weight: 400;">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.</span></p> <p><strong>Pay Transparency:  </strong><span style="font-weight: 400;">Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. </span><span style="font-weight: 400;">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.</span></p> <p><span style="font-weight: 400;"><strong>Artificial Intelligence (AI): </strong>Our <a href="http://hioscar.com/careers/ai-guidelines" target="_blank">AI Guidelines</a> outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.</span></p> <p><strong>Reasonable Accommodation: </strong><span style="font-weight: 400;">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 ([email protected]) to make the need for an accommodation known.</span></p> <p><span style="font-weight: 400;"><strong>California Residents:</strong> For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our <a href="https://www.hioscar.com/legal/privacy/">Privacy Policy</a>.</span></p></div>

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