远程工作雷达

专员,医疗系统合同

Associate, Health System Contracting

职能支持全球可投
公司Oscar Health
薪资未公开
工作地点Remote
地域资格全球可投
时区要求无特别要求
用工类型未标注
发布时间14 天前
数据来源Greenhouse
前往企业招聘页投递 →
全球可投:该职位未限制候选人所在地区。仍需注意薪资可能按地区折算,以及实际签约方式(正式雇佣 / 独立合同)。

你好,我们是Oscar。我们正在招聘一名健康系统合同专员加入我们的网络合同团队。

Oscar是一家以完整技术平台和对服务会员的执着专注为核心的首家健康保险公司。我们于2012年创立Oscar,旨在打造我们自己希望拥有的健康保险公司——一家像家庭医生一样的公司。

关于该职位:

健康系统合同专员通过评估、谈判和管理与医院和医疗系统的合作伙伴关系,协助制定和执行Oscar的网络策略。您将结合财务分析、战略问题解决和关系管理,提高可负担性、网络覆盖和会员体验。

在此职位中,您将分析供应商绩效、财务信息和市场动态,制定谈判策略,支持复杂的合同谈判,并将分析结果转化为对高级管理层的明确建议。您还将与网络、财务、法律、供应商运营及其他团队合作,落实协议,解决供应商问题,并发现加强Oscar网络的机会。

您将向网络合同经理汇报工作。

工作地点:这是一个远程职位,面向居住在佐治亚州、北卡罗来纳州或南卡罗来纳州的候选人。您的日常工作将包括在家办公和频繁的本地客户会议。偶尔可能需要参加团队会议和公司活动。

薪资透明:该职位的基本薪资为每年87,188至114,434美元。您还有资格享受员工福利,参与Oscar的无限休假计划和年度绩效奖金。

职责:

  • 支持制定和执行推动Oscar网络充分性、增长、可负担性和会员体验目标的市场级合同策略。
  • 分析和评估供应商经济状况、报销安排、使用情况、竞争动态和合同表现。
  • 将复杂的财务和运营分析转化为谈判策略和合同决策的明确建议。
  • 准备并参与与医院和医疗系统的谈判,包括制定报销率模型、合同立场、演示材料和情景分析。
  • 谈判并管理指定医疗机构的合同
查看英文原文

Hi, we're Oscar. We're hiring a Health System Contracting Associate to join our Network Contracting team.

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.

About the role:

The Health System Contracting Associate helps develop and execute Oscar's network strategy by evaluating, negotiating, and managing partnerships with hospitals and health systems. You will combine financial analysis, strategic problem-solving, and relationship management to improve affordability, network access, and the member experience.

In this role, you will analyze provider performance, financial information, and market dynamics, develop negotiation strategies, support complex contract negotiations, and translate findings into clear recommendations for senior leaders. You will also partner across Network, Finance, Legal, Provider Operations, and other teams to implement agreements, resolve provider issues, and identify opportunities to strengthen Oscar's networks.

You will report into the Manager, Network Contracting.

Work Location: This is a remote position based in the field, open to candidates who reside: Georgia, North Carolina or South Carolina. Your daily work will involve a blend of work from your home office and frequent local travel for client meetings. Occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role is: $87,188- $114,434 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • Support the development and execution of market-level contracting strategies that advance Oscar's network adequacy, growth, affordability, and member-experience objectives.
  • Analyze and evaluate provider economics, reimbursement arrangements, utilization, competitive dynamics, and contract performance.
  • Translate complex financial and operational analyses into clear recommendations for negotiation strategy and contracting decisions.
  • Prepare for and participate in negotiations with hospitals and health systems, including developing reimbursement rate models, contract positions, presentation materials, and scenario analyses.
  • Negotiate and manage contracts with assigned healthcare providers, with guidance from senior team members, focusing on sustainable economics, clear terms, and compliance with organizational and regulatory requirements.
  • Conduct comprehensive reviews of existing provider agreements to identify financial, operational, and contractual improvement opportunities.
  • Manage cross-functional contracting workstreams from initial analysis through negotiation, execution, and implementation, proactively identifying risks and driving issues to resolution.
  • Support improvements to contracting tools, policies, workflows, and performance reporting.
  • Monitor assigned networks to gauge compliance with standards, developing corrective action plans with network contracting and market leadership to remediate deficiencies.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • 3+ years of experience in healthcare client management, healthcare consulting, strategy and operations, healthcare contracting, healthcare finance, payer or provider operations, or a related analytical field.
  • 2+ years of experience supporting analytical or strategic workstreams and developing recommendations for senior stakeholders.
  • 1+ years experience analyzing complex financial or operational data and translating findings into actionable business recommendations.
  • 1+ years experience navigating and organizing large data sets such as hospital price transparency reimbursement, claim files and provider rosters
  • Experience supporting negotiations, commercial agreements, strategic partnerships, or other complex, cross-functional initiatives.

Bonus points:

  • Experience in healthcare, health insurance, hospital or health-system strategy, provider contracting, or reimbursement.
  • Experience communicating with senior internal and external stakeholders
  • Advanced proficiency in Excel or Google Sheets; experience with SQL or other analytical tools
  • Associate’s degree or equivalent professional working experience.

This is an authentic Oscar Health job opportunity.

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.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

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 (accommodations@hioscar.com) 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 Privacy Policy.

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