Oscar Health - Contract Load Representative
Requirements
• High school diploma or GED • 1+ years of experience in a fast-paced healthcare environment • Advanced Google Suite or Microsoft Office capabilities • Experience manipulating and entering accurate data in a production driven environment • In-depth knowledge of provider contracts • Experience configuring provider contracts • Strong verbal and written communication skills • Strong quantitative or analytical skills focused on proactively identifying or solving problems • This is an authentic Oscar Health job opportunity.
Responsibilities
• Review and configure executed provider contracts, amendments, W-9s, rosters, and supporting documentation for completeness, accuracy, and readiness for configuration. • Coordinate with Network Contracting, Credentialing, Roster Operations, Rate Configuration, and leadership to resolve missing information, clarify contract intent, and manage downstream dependencies. • Escalate incomplete documentation, contract discrepancies, duplicate records, complex interpretation questions, and system issues. • Develop a comprehensive understanding of the current processes, procedures, and tools associated with the Oscar business model. • Interact daily with Internal departments through multiple channels according to assignment needs • Manage an assigned caseload while maintaining service delivery, productivity, and quality expectations • Form working relationships with internal stakeholders. • Support the leadership team by identifying issues through established escalation pathways • Be accountable for monitoring and tracking the health of all assigned work-in-progress issues. • Escalate and resolve issues to ensure appropriate turnaround times • Be an active participant in process improvement initiatives • Comply with all operational, regulatory, and compliance standards relating to member Personal Health Information (PHI) • Compliance with all applicable laws and regulations • Other duties as assigned
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