Senior Specialist, Provider Network Recruitment

Oscar Health•Remote, AZ

2d•$67,813 - $89,004•Remote

About The Position

Oscar is hiring a Senior Specialist to join its Network Recruitment team. This role supports network adequacy and growth by administering the new provider contracting lifecycle and managing in-flight provider contract data. The specialist supports the development and implementation of market strategies and works with internal departments and external providers to ensure new provider contracts are accurate and complete. The position reports to the Manager, Network Recruitment. It is remote for candidates residing in Alabama, Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Mississippi, Missouri, Nebraska, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, or Virginia. Work includes a blend of home-office work and frequent local travel for client meetings; occasional travel may be required for team meetings and company events. Base pay is $67,813–$89,004 per year, with eligibility for employee benefits, Oscar’s unlimited vacation program, and annual performance bonuses.

Requirements

Associate’s degree or at least 2 years of relevant experience.
At least 2 years of experience in healthcare contract coordination, provider relations, or a similar role within a managed care environment.
At least 1 year of experience using Microsoft Office or Google Suites, with strong knowledge of Excel or Sheets.
At least 1 year of experience prioritizing and managing cross-functional projects.

Nice To Haves

At least 1 year of experience supporting provider contracting efforts in a health insurance environment.
Knowledge of process-improvement principles.
Familiarity with provider directories or provider network data.

Responsibilities

Use demographic data for current out-of-network providers to create recruitment lists that target network adequacy by geography, specialty, or member demographics.
Support preparation, review, and execution of provider contracts and Letters of Agreement.
Collaborate with the Provider Recruitment team to address provider inquiries, concerns, and data-related contracting inquiries.
Oversee the “Request to Join” process and “Join Our Network” mailbox to identify new provider contracts promptly and assign them efficiently.
Generate reports and summaries about provider contract data updates and network status, incorporating changes from mail, fax, electronic, and other sources.
Coordinate with departments to collect provider contract data for setting up providers in enterprise data systems, including system configuration, provider directory, and credentialing processes.
Maintain and verify provider contracting data in the network database and assist other departments with ongoing contract updates.
Support special projects to ensure the provider contracting database is complete and accurate.
Provide administrative assistance, including screening and researching incoming provider requests from multiple communication platforms.
Participate in process-improvement initiatives to streamline workflows and improve the provider experience.
Comply with all applicable laws and regulations.
Perform other duties as assigned.