Manager, Provider Network West P&L (IL, IA, MO, KS)

Hi, we're Oscar. We're hiring a West P&L Provider Network Manager to join our West P&L 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

At Oscar, we are working to provide the kind of health insurance we would want for ourselves. Our goal is to make health insurance simple, transparent, and human. We need your help to do so.

The Market P+L teams manage the growth and business economics of their regions. The team grows a set of relationships across our network of health systems, providers, and other healthcare organizations. The team strives to construct and improve Oscar's system, facility, and provider agreements, infrastructures, and relationships to ensure that our strategic vision, operational standards, partner quality goals, and financial interests are reflected in our network partnerships.

You will report to our Director, West P&L.

This is a remote / work-from-home role. You must reside in one of the following states: Arizona, California, Connecticut, Florida, Georgia, Illinois, Maryland, Massachusetts, Michigan, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, Tennessee, Texas, Utah, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $108,000 - $141,750 per year. The potential base pay for this role in all other locations is: $97,200 - $127,575 per year. You are also eligible for employee benefits and annual performance bonuses.

Responsibilities

As a Manager on the West Region team, you will:

• Be the market expert for your geographies (IL, IA, KS, MO). Be audible ready on the network construction, competitive landscape, contract terms (e.g. rates), regulatory mandates and how these aspects impact our overall growth, profitability, and risk in your markets.
• Analyze and assess data to build programs and opportunities to improve the growth, profitability, and risk of your partners, your market, and the region (e.g end-to-end owner of big medical group / small hospital contracting, expansion, and negotiation opportunities, harvest strategies, utilization management projects, etc).
• Partner with other teams such as Strategy, Finance, Analytics, Value Capture, Care Management, Government Affairs, Product, Concierge, and other regional teams to achieve results for essential Oscar programs.
• Run the face-off-strategy with health system and provider partners, manage the relationship, increase the contract / partnership, and serve as the point of escalation for P&L responsibilities (settlements, contract negotiations / renegotiations).
• Be the point of escalation for junior members of the team and support the territory lead / region lead in shepherding the team towards execution and results.

Qualifications

• A bachelor's degree or equivalent work experience
• 4+ years of professional experience in payer or provider healthcare contracting, managed care, healthcare finance, performance management, healthcare operations, consulting, or a related field
• Experience in payer/provider contract negotiations or account management
• Experience running financial analyses on a markets or products, and working cross-functionally to improve opportunities and increase growth & profitability
• Experience in process improvement and workflow design

Bonus Points

• ACA marketplace, quality of care, and population health experience
• People management experience

 

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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, paid holidays, paid vacation and sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimburse