Oscar Health - Senior Specialist, Provider Network Recruitment
Requirements
• Associate's degree or 2+ years of relevant experience • Minimum 2+ years of experience in healthcare contract coordination, provider relations, or a similar role within a managed care environment. • 1+ years of experience in Microsoft Office or Google Suites, with strong knowledge of Excel/Sheets. • 1+ years of experience prioritizing and managing cross-functional projects • 1+ years experience supporting provider contracting efforts in a health insurance environment • Process improvement principles • Familiarity with provider directories or provider network data • This is an authentic Oscar Health job opportunity.
Responsibilities
• Utilize demographic data for current out-of-network providers to create recruitment lists, targeting network adequacy based on geography, specialty, or member demographics. • Support the preparation, review, and execution of provider contracts and Letters of Agreement. • Collaborate with the Provider Recruitment team to address provider inquiries, concerns, and data-related contracting inquires • Oversees the “Request to Join” process and the “Join Our Network” mailbox to identify new provider contracts promptly and assign them efficiently. • Generate reports and summaries concerning provider contract data updates and network status, incorporating changes from various sources (mail, fax, electronic, etc.). • Coordinate with different departments to collect provider contract data for setting up providers in enterprise data systems, including system configuration, provider directory, and credentialing processes. • Maintain and verify provider contracting data in the network database and assist other departments with ongoing contract updates. • Provide support for special projects to ensure the completeness and accuracy of the provider contracting database. • Offer administrative assistance, including screening and researching incoming provider requests from multiple communication platforms. • Participate in process improvement initiatives to streamline workflows and improve the provider experience. • Compliance with all applicable laws and regulations • Other duties as assigned
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