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Salary: USD 67,813 - 89,004 / annual
Oscar Health is seeking a Senior Specialist, Provider Network Recruitment to join the Network Recruitment team. This role is critical to maintaining network adequacy and supporting growth through administration of the provider contracting lifecycle.
You will manage Oscar's in-flight provider contracts data, supporting the development and implementation of market strategies while ensuring seamless operations and strong relationships with internal departments and external providers. The role reports to the Manager, Network Recruitment.
Key responsibilities include:
- Utilizing demographic data to create recruitment lists targeting network adequacy by geography, specialty, or member demographics
- Supporting preparation, review, and execution of provider contracts and Letters of Agreement
- Collaborating with the Provider Recruitment team to address provider inquiries and data-related contracting issues
- Overseeing the "Request to Join" process and managing the "Join Our Network" mailbox to identify and assign new provider contracts efficiently
- Generating reports and summaries on provider contract data updates and network status from multiple sources
- Coordinating with departments to collect provider contract data for enterprise system setup, including provider directory and credentialing processes
- Maintaining and verifying provider contracting data in the network database
- Supporting special projects to ensure database completeness and accuracy
- Screening and researching incoming provider requests from multiple communication platforms
- Participating in process improvement initiatives to streamline workflows and enhance provider experience
- Ensuring compliance with applicable laws and regulations
The position is remote, open to candidates residing in Alabama, Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Mississippi, Missouri, Nebraska, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, or Virginia. Work involves a blend of home office work and frequent local travel for client meetings, with occasional travel for team meetings and company events.
Requirements:
- Associate's degree or 2+ years of relevant experience
- Minimum 2+ years of experience in healthcare contract coordination, provider relations, or similar role within a managed care environment
- 1+ years of experience with Microsoft Office or Google Suites, with strong Excel/Sheets knowledge
- 1+ years of experience prioritizing and managing cross-functional projects
Bonus qualifications:
- 1+ years of experience supporting provider contracting efforts in a health insurance environment
- Knowledge of process improvement principles
- Familiarity with provider directories or provider network data
