Analyst, Network Strategy
Oscar Health
This job is no longer accepting applications
See open jobs at Oscar Health.See open jobs similar to "Analyst, Network Strategy" General Catalyst.Hi, we're Oscar. We're hiring a Network Strategy Analyst to join our National 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
The Network Strategy team strives to improve Oscar's system, facility, and provider agreements, infrastructure, and relationships to ensure that our strategic vision, operational standards, partner quality goals, and financial interests are reflected in our network partnerships.
You will design, optimize, and implement processes and improvements into Oscar's Single Case Agreement & Network Adequacy operations platform. You will design and conduct ad-hoc and new-hire training in alignment with department policy. The role requires your close collaboration with cross-functional partners on day-to-day and escalated issue resolution. You will develop an understanding of Oscar's SCA & network strategy infrastructure, underlying logic, and data models; and will understand and translate requirements/rules from partners. You will ensure efficient production levels by monitoring reports, assigning resources as required.
You will report to the Director, Network Optimization. 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 potential base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $76,000-$99,750. The potential base pay for this role in all other locations is: $68,400-$89,775. You are also eligible for employee benefits, and participation in Oscar’s unlimited vacation program.
Responsibilities
- Manage and steward provider network and contract datasets in support of compliant and performant business operations
- Independently reviews and approves single case agreements to ensure financial discipline and alignment with department and company policy
- Responsible for identifying and implementing process improvement initiatives to optimize operational efficiency and achieve performance targets
- Use data to guide our decisions and drive company and department strategy
- Identify risks; respond to and resolves issues/errors/escalations through investigation to produce insights for short/medium/long-term technology-enabled solutions
- Be the point of escalation for junior members of the team and support the market lead in shepherding the team towards execution and results
- Coordinate projects and processes to help ensure key milestones and service levels are met
- Work with leadership to strategize, implement, and manage creative arrangements aimed at lowering overall cost-of-care or improving healthcare outcomes
- Understand the out of network, regulatory, network adequacy ecosystem, technology and data models and its current strengths, weaknesses, and gaps.
- 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
Qualifications
- A bachelor's degree or equivalent work experience
- 1+ years of professional experience in payer or provider healthcare contracting, provider network management, healthcare operations, or a related field
- Experience running analyses on markets or products, and working cross-functionally to improve opportunities and increase growth & profitability
- Experience in process improvement and workflow design
- Experience in constructing presentation materials aimed at Senior Leadership
- Willingness to 'dive-in' and support multiple in-flight activities within a growing organization
Bonus Points
- ACA marketplace, claims, or provider data experience
- People management experience
- Management consulting experience
- Process Improvement or Lean Six Sigma training
- Experience in healthcare, specifically claims processing or eligibility & billing
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.
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.
This job is no longer accepting applications
See open jobs at Oscar Health.See open jobs similar to "Analyst, Network Strategy" General Catalyst.