Network Specialist

Hi, we're Oscar. We're hiring a Network Specialist to join our Network 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 Network Specialist supports membership growth and management. This is done by supporting the execution of the local network strategy and ensuring providers across our service area have the information and support they need to provide the best member care and guide quality outcomes.

You will report to the Senior Manager, Network Contracting

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.

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.

You must reside in one of the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change.

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $$27.31- $35.84 per hour. The base pay for this role in all other locations is: $24.58-$32.26 per hour. You are also eligible for employee benefits, ((monthly vacation accrual at a rate of 15 days per year. And.

Responsibilities

• Support the design and/or execution of a network construction and support plan for a market or state with support from your manager.
• Meet defined metrics and Service level agreements including but not limited to provider issue resolution and/or contract completion
• Support overall contracting negotiations including data entry, research, provider outreach, and/or other administrative tasks
• Working with senior network specialists and management, support the Identification, sourcing, and/or contracting efforts with providers in a region
• Document and share provider feedback, objections and questions to support the continuous improvement of templates and processes.
• Help with regular reporting on network adequacy, construction, and improvement as needed by management or Compliance.
• Compliance with all applicable laws and regulations.
• Other responsibilities as assigned.
• Travel Required: Up to 20%

Qualifications

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

Bonus Points

• Experience negotiating contracts, specifically with ancillaries, facilities, specialty providers, and physician groups.
• Experience in a customer support/customer service role.

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

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.

Artificial Intelligence (AI) Guidelines: Please see our AI Guidelines for the acceptable use of artificial intelligence during the interview process at Oscar.

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.

Originally posted on Himalayas