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Oscar Health Verified
Health Insurance, HealthTech

Senior Specialist, Provider Network Recruitment

RemoteRemoteFull TimeSenior$67,813–$89,004 /yrPosted 18 days ago

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Required skills

  • Provider Network Recruitment
  • Provider Contracting
  • Network Adequacy
  • Managed Care
  • Provider Relations
  • Microsoft Office
  • Google Suites
  • Excel
  • Sheets
  • Cross-functional Projects

Nice to have

  • Health Insurance
  • Process Improvement
  • Provider Directories
  • Provider Network Data

Role summary

Oscar is seeking a Senior Specialist for its Network Recruitment team. This remote role focuses on maintaining network adequacy and growth by managing the provider contracting lifecycle. Responsibilities include utilizing demographic data for recruitment, preparing and executing contracts, collaborating with internal and external stakeholders, managing provider inquiries, generating reports on contract data, and coordinating with departments for system setup. The role requires strong data management and administrative skills, with a focus on ensuring accuracy and completeness of provider contracts and network databases. A blend of home office work and local travel is expected.

Hi, we're Oscar. We're hiring a Senior Specialist to join our Network Recruitment team.

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.

About the role:

The Senior Specialist, Network Recruitment role plays a crucial role in maintaining network adequacy and fostering growth through administration of new provider contracting lifecycle. This involves supporting the development and implementation of market strategies through diligent and thorough management of Oscar's in-flight provider contracts data. The Senior Specialist, Network Recruiting role specialist ensures seamless operations and cultivates strong relationships via collaboration with internal departments and external providers to guarantee the accuracy and completeness of new provider contracts.

You will report into the Manager, Network Recruitment.

Work Location: This is a remote position, open to candidates who reside in: Alabama, Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Mississippi, Missouri, 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 local travel for client meetings. Occasional travel may be required for team meetings and company events.

Pay Transparency: The base pay for this role is: $67,813 - 89,004 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • Utilize demographic data for current out-of-network providers to create recruitment lists, targeting network adequacy based on geography, specialty, or member demographics.
  • Support the preparation, review, and execution of provider contracts and Letters of Agreement.
  • Collaborate with the Provider Recruitment team to address provider inquiries, concerns, and data-related contracting inquires
  • Oversees the “Request to Join” process and the “Join Our Network” mailbox to identify new provider contracts promptly and assign them efficiently.
  • Generate reports and summaries concerning provider contract data updates and network status, incorporating changes from various sources (mail, fax, electronic, etc.).
  • Coordinate with different departments to collect provider contract data for setting up providers in enterprise data systems, including system configuration, provider directory, and credentialing processes.
  • Maintain and verify provider contracting data in the network database and assist other departments with ongoing contract updates.
  • Provide support for special projects to ensure the completeness and accuracy of the provider contracting database.
  • Offer administrative assistance, including screening and researching incoming provider requests from multiple communication platforms.
  • Participate in process improvement initiatives to streamline workflows and improve the provider experience.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

    • Requirements:

  • Associate's degree or 2+ years of relevant experience
  • Minimum 2+ years of experience in healthcare contract coordination, provider relations, or a similar role within a managed care environment.
  • 1+ years of experience in Microsoft Office or Google Suites, with strong knowledge of Excel/Sheets.
  • 1+ years of experience prioritizing and managing cross-functional projects

    • Bonus points:

  • 1+ years experience supporting provider contracting efforts in a health insurance environment
  • Process improvement principles
  • Familiarity with provider directories or provider network data

    • This is an authentic Oscar Health job opportunity.

    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.

    Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

    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 Privacy Policy.

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