- Manage the network development, provider contracting and key provider account relationship management for assigned market(s) within the state of Texas.
- Manage a network construction plan developed for assigned market(s) within the state of Texas.
- Generate industry relationships and outreach directly to potential network partners to coordinate growth efforts.
- Support overall contract negotiations and strategies to bring new partners into the network.
- Support and/or manage team members responsible for the servicing, education and communication to the provider network.
- Execute and help identify and guide team in organization-wide initiatives to improve quality and financial performance.
- Monitor assigned partners to gauge compliance with standards, implementing corrective actions to remediate deficiencies.
- Help inform key business strategies to achieve market goals and mitigate risks.
- Compliance with all applicable laws and regulations.
- Other duties as assigned.
- Bachelor's degree, or 4 years equivalent work experience.
- 4+ years of professional experience in Provider and/or Payer healthcare contracting, provider relations, healthcare client management, healthcare consulting, healthcare finance or market performance management
- 2+ years experience managing markets or product lines including financial responsibility, and working cross-functionally to drive improvement opportunities and increase growth and profitability.
- 2+ years experience leading and managing a team
- Affordable Care Act (ACA) marketplace, quality of care, and population health experience.
- Bilingual (Spanish).
- 2+ years experience in process improvement and workflow design.
- Up to 25%
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Manager, Network Development and Partnerships - Houston, United States - Oscar Health
Description
Job Description
Job DescriptionHi, we're Oscar. We're hiring a Manager, Network Development and Partnerships to join our Market P&L - Texas 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 roleThe Manager, Network Development and Partnerships supports membership growth and management, by executing the local network strategy and ensuring providers across our Texas service area have the information and support they need to provide best-in-class member care and drive quality outcomes.
You will report to the Director Market P&L - Texas.
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 one of the following state(s): Texas. Note, this list of states is subject to change. #LI-Remote
Pay Transparency:
The base pay for this role is $97,200 - $127,575 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
ResponsibilitiesThis 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 ) to make the need for an accommodation known.
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