Startups · AI

Associate, Value Based Contracting

Oscar AI · Remote · Remote

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About Oscar AI

Oscar is an AI operations analyst that watches every location 24/7, catching revenue leaks, labor inefficiencies, and compliance risks, then delivering the alerts, reports, and action plans your team needs to fix them fast. Backed by Techstars.

About the role

The Associate, Value Based Contracting supports negotiation and execution of Value Based Contracts to build and maintain a robust network; while also ensuring access to quality care and optimizing costs by analyzing provider performance and negotiating reimbursement rates, often involving complex contract terms and compliance with regulatory guidelines.

What they're looking for

  • 3+ years of experience in healthcare client management, healthcare consulting, or provider healthcare contracting, healthcare operations, or a related field
  • 2+ years of experience supporting provider network strategy development and negotiating provider contracts
  • 1+ years experience running financial analyses on a markets or product lines, and working cross-functionally to support driving improvement opportunities
  • 1+ years experience navigating and organizing large data sets such as claim files and provider rosters
More about this role

Hi, we're Oscar. We're hiring a Value Based 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.

The Associate, Value Based Contracting supports negotiation and execution of Value Based Contracts to build and maintain a robust network; while also ensuring access to quality care and optimizing costs by analyzing provider performance and negotiating reimbursement rates, often involving complex contract terms and compliance with regulatory guidelines. The Associate also supports network growth and recruiting efforts by engaging with prospective providers directly; assisting with resolution of provider issues; supporting cost- saving initiatives; assisting with the design and execution of the local network strategy; and ensuring providers across our service area have the information and support they need to provide best-in-class member care.

You will report into the Manager, Value Based...

Read the full posting on Oscar AI's site ↗

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