Senior Specialist, Network Contracting

About the Company

Oscar is the first health insurance company built around a full stack technology platform and a relentless 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.

Responsibilities

• Negotiate Single Case Agreements (SCAs) with healthcare providers to build and maintain a robust network
• Conduct comprehensive reviews and analyses of assigned provider contracts
• Utilize data and analytics of provider financial issues and competitor strategies to inform decisions
• Support implementation of contracting policies and workflows
• Monitor and analyze key metrics for network performance, cost, and provider satisfaction
• Ensure timely and professional resolution of provider issues
• Build and maintain positive relationships with healthcare providers
• Support provider onboarding, training, and resource distribution
• Collaborate with internal teams such as Claims, Credentialing, and Contracting
• Participate in process improvement initiatives

Requirements

• 2+ years of experience in provider network operations, contracting, or provider services
• 1+ years of experience in Health Insurance (Individual and/or Medicare Advantage) or the healthcare industry
• 1+ years experience navigating and organizing large data sets such as claim files and provider rosters

Preferred Qualifications

• Associate's degree or equivalent professional working experience