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Remote in Arizona, United States, Florida, United States, Illinois, United States, Iowa, United States
Responsibilities
Negotiate and manage contracts with healthcare providers to build and maintain a robust network in assigned regions. Analyze provider performance and reimbursement rates to optimize costs and ensure access to quality care.
Requirements
Requires 2+ years of experience in provider network operations or contracting and 1+ years in the healthcare or health insurance industry. Must have at least 1 year of experience organizing large datasets such as claim files and provider rosters.
Full job description
Hi, we're Oscar. We're hiring a Senior Network Contracting Specialist to join our Network Contracting.
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:
As a Senior Specialist of Network Contracting you will negotiate and manage contracts with healthcare providers, including hospitals, health systems, and individual providers. These contracts aim to develop a network in assigned markets or regions. Additionally, you will ensure access to quality care and improve costs by analyzing provider performance and negotiating reimbursement rates. This often involves complex contract terms and compliance with regulatory guidelines. You will also help recruit new providers to the network, assisting with resolution of provider issues, and supporting cost-saving projects.
Work Location: This is a remote position based in the field, open to candidates who reside: Arizona, 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
Pay Transparency: The base pay for this role $71,539 - $93,895 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.
Responsibilities:
Support and direct involvement with negotiating contracts with assigned healthcare providers, focusing on favorable terms and compliance with organizational standards, strategy, and regulatory requirements.
Conduct comprehensive reviews and analyses of assigned provider contracts, identifying areas for improvement and optimization.
With support from your leader, uses data and analytics of provider financial issues and competitor strategies to inform negotiation and contracting decisions.
Support implementation of contracting policies and workflows; monitor and ensure effective and efficient contracting processes are in place.
With input and support from their leader, monitor and analyze important metrics for network performance, cost, and provider satisfaction, and provide reports to leadership for assigned provider accounts.
Ensure timely and professional resolution of provider issues
Build relationships with healthcare providers to ensure network stability and quality.
Help track and analyze goals to monitor provider satisfaction and operational efficiency.
Support provider onboarding, training, and resource distribution.
Collaborate with other teams such as Claims, Credentialing, and Contracting to resolve routine provider issues.
Participate in process improvement projects to improve workflows and enhance provider experience.
Compliance with all applicable laws and regulations (DO NOT REMOVE - REQUIRED)
Other duties as assigned (DO NOT REMOVE - REQUIRED)
Requirements:
2+ years of experience in provider network operations or contracting or provider services
1+ years of experience in Health Insurance (Individual or Medicare Advantage) or Healthcare industry
1+ years experience navigating and organizing large datasets such as claim files and provider rosters
Bonus points:
Associate's degree or equivalent professional working experience.
This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraudhere.
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 ([email protected]) 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.
Based on 1258 listings with disclosed salaries, most healthcare jobs in Arizona pay between $69k–$163k per year. Individual offers vary with seniority, company size, and specialization.
How many Healthcare jobs are open in Arizona right now?
There are currently 12,027 open healthcare positions in Arizona listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Healthcare roles in Arizona?
Companies currently hiring include Banner Health, HonorHealth, CVS Health, Mayo Clinic, Tenet Healthcare, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Healthcare jobs in Arizona?
Yes — 941 of the 12027 open healthcare positions offer remote or hybrid work (373 remote, 568 hybrid).
How do I apply for Healthcare jobs in Arizona?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.