Associate, Network Contracting & Services (Texas + West Region)New$87K–$114K
The opportunity
Hi, we're Oscar. We're hiring an Associate to join our Network Contracting & Services team.
What you'll do
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.
Manage and negotiate contracts with assigned healthcare providers, focusing: on favorable terms and compliance with organizational standards and regulatory requirements.
Serve as a Subject Matter Expert to a small team of contracting specialists: and/or analysts, providing guidance and fostering a collaborative and innovative work environment.
Supports comprehensive reviews and analyses of assigned provider contracts,: identifying areas for improvement and optimization.
Utilizes data and analytics of provider financial issues and competitor: strategies to support informing negotiation and contracting decisions.
Facilitates guidance and mentorship of more junior team members by: reiterating strategic objectives, providing training and development opportunities, and fostering a collaborative and innovative work environment
What they're looking for
- Supports implementation of contracting policies and workflows; supports: identifying when effective and efficient contracting processes need improvement Meet defined metrics and SLAs including but not limited to provider outreach and contract completion.
- Collaborate with the provider services team regarding the servicing,: education and communication to our provider network.
- 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
