Contract Load Representative

Oscar Health•Remote, AZ

13h•Remote

About The Position

Oscar is hiring a Contract Load Representative to join their Contract Loading Team. Oscar is a health insurance company that utilizes a full stack technology platform and focuses on serving its members. The Contract Load Representative is responsible for validating, configuring, and maintaining executed provider contracts and amendments. This role manages the entire process of contract configuration within internal systems, resolves complex provider and member issues, and collaborates with various teams to ensure data accuracy and operational efficiency. The position reports to the Associate Manager, Provider Data Operations. This is a remote position open to candidates in Arizona, Florida, Georgia, or Texas. Occasional travel may be required for team meetings and company events.

Requirements

High school diploma or GED
1+ years of experience in a fast-paced healthcare environment
Advanced Google Suite or Microsoft Office capabilities
Experience manipulating and entering accurate data in a production driven environment

Nice To Haves

In-depth knowledge of provider contracts
Experience configuring provider contracts
Strong verbal and written communication skills
Strong quantitative or analytical skills focused on proactively identifying or solving problems

Responsibilities

Review and configure executed provider contracts, amendments, W-9s, rosters, and supporting documentation for completeness, accuracy, and readiness for configuration.
Coordinate with Network Contracting, Credentialing, Roster Operations, Rate Configuration, and leadership to resolve missing information, clarify contract intent, and manage downstream dependencies.
Escalate incomplete documentation, contract discrepancies, duplicate records, complex interpretation questions, and system issues.
Develop a comprehensive understanding of the current processes, procedures, and tools associated with the Oscar business model.
Interact daily with Internal departments through multiple channels according to assignment needs.
Manage an assigned caseload while maintaining service delivery, productivity, and quality expectations.
Form working relationships with internal stakeholders.
Support the leadership team by identifying issues through established escalation pathways.
Be accountable for monitoring and tracking the health of all assigned work-in-progress issues.
Escalate and resolve issues to ensure appropriate turnaround times.
Be an active participant in process improvement initiatives.
Comply with all operational, regulatory, and compliance standards relating to member Personal Health Information (PHI).
Compliance with all applicable laws and regulations.
Other duties as assigned.