Associate, Health System ContractingActive$87K–$114K
The opportunity
Hi, we're Oscar. We're hiring a Health System Contracting Associate to join our Network Contracting team.
What you'll do
Support the development and execution of market-level contracting strategies: that advance Oscar's network adequacy, growth, affordability, and member-experience objectives.
Analyze and evaluate provider economics, reimbursement arrangements,: utilization, competitive dynamics, and contract performance.
Translate complex financial and operational analyses into clear: recommendations for negotiation strategy and contracting decisions.
Prepare for and participate in negotiations with hospitals and health: systems, including developing reimbursement rate models, contract positions, presentation materials, and scenario analyses.
Negotiate and manage contracts with assigned healthcare providers, with: guidance from senior team members, focusing on sustainable economics, clear terms, and compliance with organizational and regulatory requirements.
Conduct comprehensive reviews of existing provider agreements to identify: financial, operational, and contractual improvement opportunities.
What they're looking for
- Manage cross-functional contracting workstreams from initial analysis through: negotiation, execution, and implementation, proactively identifying risks and driving issues to resolution.
- Support improvements to contracting tools, policies, workflows, and performance reporting.
- Monitor assigned networks to gauge compliance with standards, developing: corrective action plans with network contracting and market leadership to remediate deficiencies.
- Compliance with all applicable laws and regulations