Associate, Delegated Vendor Management
About The Position
You will be a key collaborator in the management of contracts with large, national and/or complex vendors or partners. You will manage the daily operations associated with the delegated dental and vision vendor contracts, including the triage and management of member and provider issues; supporting cost- saving initiatives; collaborating on internal process improvement and optimization effort. You will have management responsibilities of delegated vendor(s) and be a subject matter expert in the end-to-end program, serving as a knowledgeable and responsive point of triage and assistance for internal teams (including clinical and claims teams) and external vendor partners and ensuring providers across our service area have the information and support they need to provide best-in-class member care. You will report into the Director, Speciality Contracting.
Requirements
- 3+ years of experience in healthcare client management, healthcare consulting, or provider healthcare contracting, healthcare operations, or a related field
- 2+ years of experience supporting provider network strategy development and negotiating provider contracts
- Experience with end-to-end project management
Nice To Haves
- Associate's degree or equivalent professional working experience.
- 1+ years experience running financial analyses on a markets or product lines, and working cross-functionally to support driving improvement opportunities
- 1+ years experience navigating and organizing large data sets such as claim files and provider rosters
Responsibilities
- Be an internal expert on program operations and provide consultation and partnership to internal partners to drive strategic initiatives, process optimization, and cost containment efforts
- 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.
- Utilize data and analytics of competitor strategies to support informing negotiation and contracting decisions.
- Facilitate 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
- Support implementation of policies and workflows; supports identifying when effective and efficient processes need improvement Meet defined metrics and SLAs including but not limited to provider outreach and contract completion.
- Collaborate with internal teams to effectively triage and manage issues related to claims, members, and providers.
- Support with account management tasks across the team, including deliverable tracking, report management, meeting minutes, and team organization
- Support with financial operations, including budget forecasting and projections
- Support with administrative tasks as assigned
- Compliance with all applicable laws and regulations
- Other duties as assigned
Benefits
- employee benefits
- participation in Oscar's unlimited vacation program
- annual performance bonuses
- medical, dental, and vision benefits
- 11 paid holidays
- paid sick time
- paid parental leave
- 401(k) plan participation
- life and disability insurance
- paid wellness time and reimbursements
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
