Senior Network Specialist (Ohio)

Posted 16 Hours Ago
Be an Early Applicant
Hiring Remotely in USA
Remote
69K-91K Annually
1-3 Years Experience
Insurance
The Role
The Senior Network Specialist at Oscar is responsible for supporting membership growth and management by executing the local network strategy and ensuring providers have the support they need for member care. They provide expertise in contracts reviews and analysis, support network construction, and act as a Subject Matter Expert on operational workflows and tools.
Summary Generated by Built In

Hi, we're Oscar. We're hiring a Senior Network Specialist to join our Market P&L team.

Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role

The Senior Network Specialist supports membership growth and management. This is done by executing the local network strategy and ensuring providers across our service area have the information and support they need to provide best-in-class member care and drive quality outcomes. The Senior Analyst provides SME expertise and analysis to support more complex contracts reviews and analysis.

You will report to a Market P&L Leader.

Work Location: 

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

You must reside in Ohio and be willing to travel up to 20% within state #LI-Remote

Pay Transparency:

The base pay for this role is: $69,120 - $90,720 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program, annual performance bonuses.

Responsibilities

  • Support the design and execution of a network construction plan for a market / several markets with support from your manager
  • Act as an SME to identify, source, and contract with providers in a region
  • Support overall contract negotiations, working with your manager to align with contracting strategies, to bring new partners into our network.
  • Be the Subject Matter Expert on  core operational workflows and tools in order to identify, synthesize and flag trends for escalation.
  • Document and share feedback, objections and questions, and identify trends, to support the continuous improvement of templates and processes.
  • Support the team on additional improvement initiatives as identified
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Qualifications

  • Bachelor's Degree or 4+ years of relevant work experience
  • 1+ years of work experience in finance, performance management, operations, consulting, or a related field
  • 1+ years of experience with Word, Excel, and Powerpoint (or Google suite equivalent)
  • 1+ years of experience in a client facing or customer support capacity
  • 1+ experience with project management

Bonus Points

  • Experience in payer or provider healthcare contracting
  • Experience negotiating contracts, specifically with ancillaries, facilities, specialty providers, and physician groups

Travel Required

  • Up to 20%

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency:  Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team ([email protected]) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Notice to Job Applicants.

Top Skills

Excel
PowerPoint
The Company
Dallas, TX
1,899 Employees
On-site Workplace
Year Founded: 2012

What We Do

Health care is broken; we're trying to fix it. The Oscar team is focused on utilizing technology, design and data to humanize health care. We're a group of technology and health care professionals who looked at the current state of the US health care system, got frustrated by the horrible consumer experience, and decided to do something big about it. Backed by a renowned set of investors and advisors, we’ve set out to revolutionize health care.

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