Manager – Contracting Center of Excellence
Posted on 3/28/2023
Oscar Health

1,001-5,000 employees

Health insurance company
Company Overview
Oscar Health’s mission is to make high-quality health insurance accessible and affordable for everyone. The company is a software driven health insurance company that offers medical plans, medicare advantages, and small group products.
Experience Level
  • 4+ years of experience solving health plan operational problems
  • Experience leading and improving Payer and Reimbursement processes and workflows
  • Experience leading a team towards execution of goals and expected outcomes
  • Strong experience related to program management ownership and leading across a large cross functional team
  • A strong financial/analytical background, and the ability to quickly digest and evaluate complex financial structures and large amounts of data in order to make commercially intelligent business decisions
  • Orientation towards designing processes systematically while being able to execute quickly within a fast-paced, fluid and goal-oriented environment
  • Manage Contract Standardization efforts while collaborating with key internal stakeholders such as Legal, Operations and Regional P&L teams to optimize the efficiency of the overall contracting lifecycle, including development of template agreements, contracting guardrails, training resources, and other key process decisions
  • Manage end to end projects, programs and contracting initiatives in collaboration with PLC, Legal, Finance and P&L
  • Partner with Medical Cost Management to analyze internal data to drive insights on operational performance and and build out reporting tools to assist regional P&L teams in driving improvements
  • Partner with internal teams such as Finance, Legal and Procurement to improve the collaboration between contracting and other functions, reducing Oscar's risk and improving visibility into our processes
  • Develop strategies to drive care to our highest performance network partners
  • Drive improvements to related operational processes (e.g. contract ingestion ) that can help drive greater productivity across P&L
  • Lead the oversight for direct report(s), including but not limited to coaching, conducting frequent meetings, direction, etc
Desired Qualifications
  • Experience working within a rapidly scaling organization
  • BA/BS Degree
  • Masters in Business Administration or healthcare related field(s) preferred