Provider Network Associate
About The Position
The Provider Network Associate supports the overall accessibility, availability and quality of Oscar's Provider Network through the execution of specific network development functions. This role will work in concert with various internal partners and existing and future external provider partners to meet market growth, network quality and medical costs targets. This role will support the provider recruitment, engagement and education function within the Network Management pillar of Oscar's Insurance Operation function. You will report into the Senior Manager, Network Development Work Location: This is a remote position based in the field, open to candidates who reside: Alabama, Florida, Illinois, Iowa, Kansas, Michigan, Mississippi, Missouri, Nebraska, North Carolina, Ohio, Texas. Your daily work will involve a blend of work from your home office and frequent travel for client meetings.
Requirements
- Bachelors Degree or 4+ years of relevant experience
- 3+ years of experience in provider healthcare recruiting and contracting
- 1+ years experience in provider relations, provider services or provider recruiting, and working cross-functionally to drive growth and expansion in one or more geographical areas
Nice To Haves
- Experience with Customer Relationship Management (CRM) systems in a healthcare environment
- Experience in credentialing function and credentialing software
Responsibilities
- Leverage available demographic data for current out of network providers to target recruiting for network adequacy needs based on geography, specialty, or member demographics.
- Deploy recruiting activities in defined expansion regions based on population demographics, healthcare needs, and competitor presence
- Assess potential provider capabilities, workflows and staffing to ensure ability to adhere to access standards and meet quality of care requirements.
- Help develop targeted outreach strategies to attract high-quality providers in desired specialties and locations.
- Perform daily outreach and contact with potential providers through phone calls, emails, and in-person meetings to present the benefits of joining the network.
- Document provider outreach activities and manage provider data in a Customer Relationship Management (CRM) system.
- Pitch the network to prospective providers and guide new providers through the process of joining the network.
- Participate in process improvement initiatives to optimize workflows and enhance provider experience.
- 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
Number of Employees
1,001-5,000 employees
