Manager, Network Contracting (Georgia)

Oscar Health•Atlanta, GA

1d•Remote

About The Position

Oscar is seeking a Manager, Network Contracting & Services to manage a team supporting healthcare providers in Oscar's network. The role involves building and maintaining a robust network, ensuring quality care, and optimizing costs through provider performance analysis and negotiation of reimbursement rates. The Manager will also support network growth, provider issue resolution, cost-saving initiatives, and local network strategy execution. This is a remote position based in the field, open to candidates residing in Alabama, Florida, Georgia, or South Carolina. Daily work includes home office tasks and frequent local travel, with occasional travel for team meetings and company events.

Requirements

6+ years in healthcare network contracting, including executing contracts with health systems, hospitals or national providers, provider relations, or network management
4+ years of experience managing complex Provider Network strategies and negotiating complex contracts
3+ years experience in Health Insurance (Individual and/or ACA Market Place) and/or Healthcare industry

Nice To Haves

Bachelor's degree or equivalent professional working experience.
3+ years of leadership experience

Responsibilities

Implement contracting strategies under the direction of Network Lead 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.
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.
Monitor team performance for 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.