Specialist, Contract Loading

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Legal & ComplianceOtherContract Specialist

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Quick Summary

Key Responsibilities

Support, manage, or escalate complex contracting configurations and issues that are not solved using conventional workflows. Support, manage, or escalate aging inventory to leadership.

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Legal & ComplianceOtherContract Specialist

Hi, we're Oscar. We're hiring a Specialist, Contract Loading to join our Provider Data Operations 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.

About the Role

~1 min read

You will work to solve complex issues or concerns impacting our provider contract configuration space. You will act as a subject matter expert for initial contract configuration, amendment configuration and tax ID maintenance. You will be the liaison between teams across Oscar. You will track and trend provider contracting issues and partner with stakeholders to resolve escalated issues. You will provide teams with content knowledge, documentation, and training.

You will report into the Associate Manager, Credentialing and Contracting Ops.

Responsibilities

~1 min read

→Support, manage, or escalate complex contracting configurations and issues that are not solved using conventional workflows.
→Support, manage, or escalate aging inventory to leadership.
→Effectively manage internal or external escalated transactions and communicate with appropriate parties for effective resolution in adherence to SLAs
→Be the point person for stakeholders in other areas of the business to improve feedback loops and trend member/provider issues
→Support production representatives through a variety of communication venues
→Manage queue work and assigned caseload through efficient dashboard management. Including reporting.
→Collaborate daily with production and Internal cross-functional Leaders on systemic issues and communicate blockers to care and satisfaction
→Audit and update workflows in our knowledge management system
→Create and facilitate training with guidance from Team Leads, as needed
→Compliance with all applicable laws and regulations
→Other duties as assigned

Requirements

~1 min read

2+ years of provider contracting configuration
2+ years previous work experience in a fast-paced volume-based environment
2+ years strong quantitative or analytical skills focused on proactively identifying or solving problems
2+ years of strong technical skills with Microsoft programs.

Nice to Have

~2 min read

Bachelor's Degree
High school diploma or GED
Lean Six Sigma or similar operations certifications
Computer literacy skills using CRM, Knowledge Management tools, ticketing systems and reporting tools (Google Suite/Microsoft Office)
Experience providing project oversight
Healthcare and/or SAAS experience
Strong verbal and written communications, and interpersonal interactions

This 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.

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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 (accommodations@hioscar.com) to make the need for an accommodation known.

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