Associate P&L, New York Job at Oscar Health
Hi, we're Oscar. We're hiring a New York Associate P&L to join our Northeast 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
You will support Individual (ACA) membership growth and management through Oscar's system, IPA, and provider partnerships. This is done by implementing the local network strategy and ensuring providers across our service area have the information and support they need to provide the best member care and guide quality outcomes.
You will report to the Northeast Market P&L - Senior Manager.
This is a remote / work-from-home role. You must reside in one of the following states: Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Maryland, Massachusetts, Michigan, New Hampshire, 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: $96,000 - $126,000 per year. The base pay for this role in all other locations is: $86,400 - $113,400 per year. You are also eligible for employee benefits, and annual performance bonuses.
Responsibilities
- Be the hospital and physician contract subject matter expert for your geographies and deals. 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 your markets.
- Manage provider contracting and support hospital contracting, execution, and relationship management for a range of provider partners-from small provider groups to large independent physician associations and hospitals.
- Promote the development of a network construction plan by analyzing network gaps, research providers to bring in-network, and identify new partnership and market opportunities.
- Work with Market P/L team and internal stakeholders to collaboratively Identify important business strategies to help us achieve market goals
- Analyze and assess single-case agreement data to build relevant processes and contracting opportunities to improve in- network use within an assigned market.
- Run the face-off-strategy with identified provider partners, including managing relationships, supporting optimization of the contract / partnership, and serving as the point of escalation for P&L responsibilities (settlements, contract negotiations / renegotiations, PR / operational escalations).
- Build and use existing in-market relationships to grow Oscar's network and develop favorable relationships with in-network providers.
Qualifications
- A bachelor's degree or 4 years equivalent work experience
- 3+ years of professional experience in payer or provider healthcare contracting, healthcare finance, performance management, healthcare operations, consulting, or a related field
- Experience in process improvement and workflow design
- Experience running financial analyses on a markets or products, and working cross-functionally to improve opportunities and increase growth and profitability
Bonus Points
- ACA marketplace, quality of care, and population health experience
- Prior experience in a consulting or consulting-like role
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, paid holidays, paid vacation and 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.
To protect the health and safety of our employees, we require any employee conducting in-person work* to be fully vaccinated against COVID-19 by their start date. If you are unable to be vaccinated due to medical or protected religious reasons, please reach out to our Benefits team at accommodations@hioscar.com to submit an accommodations request.
- Note: In-person work includes: employees required to work from our offices, employees conducting sales work in the field and employees conducting at-home or in-person visits with members.
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