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Provider Network Jobs in Arizona (NOW HIRING)

You will be responsible for managing contracts with key healthcare providers in Oscar's network (hospital/health systems and large national ancillary groups) to build and maintain a robust network ...

You will be responsible for managing contracts with key healthcare providers in Oscar's network (hospital/health systems and large national ancillary groups) to build and maintain a robust network ...

Apply Early

Associate, Network Contracting

Tempe, AZ · On-site

$87K - $114K/yr

You will be responsible for managing contracts with key healthcare providers in Oscar's network (hospital/health systems and large national ancillary groups) to build and maintain a robust network ...

Company Description Blue Spire Inc is a leading provider of information technology, consulting and ... The Network Engineer's role is to ensure the stability and integrity of in-house voice, data, video ...

Company Description Blue Spire Inc is a leading provider of information technology, consulting and ... The Network Engineer's role is to ensure the stability and integrity of in-house voice, data, video ...

Senior Network Engineer

Goodyear, AZ · On-site

$96K - $143K/yr

Provide mentorship and technical guidance to junior team members, fostering skill development and ... Monitor network performance and troubleshoot problem areas as needed. * Oversee installation ...

Provide mentorship and technical guidance to junior team members, fostering skill development and ... Monitor network performance and troubleshoot problem areas as needed. Oversee installation ...

Providing network support across the organization to nearly 300 sites (and growing!). Some travel might be required. * Consistently monitor and troubleshoot network stability and performance. * Serve ...

Providing network support across the organization to nearly 300 sites (and growing!). Some travel might be required. * Consistently monitor and troubleshoot network stability and performance. * Serve ...

Providing network support across the organization to nearly 300 sites (and growing!). Some travel might be required. * Consistently monitor and troubleshoot network stability and performance. * Serve ...

This intermediate level position provides network operations support including on road escalation incidents for Carvana-employed auto haulers delivering cars to customers nationwide. This position is ...

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Provider Network information

What are the typical daily responsibilities of a Provider Network professional?

A Provider Network professional typically spends their days building and maintaining relationships with healthcare providers, negotiating and renewing contracts, ensuring network adequacy, and responding to provider inquiries or concerns. The role often involves analyzing data on network performance, collaborating with internal teams such as claims, compliance, and credentialing, and conducting outreach to recruit new providers or expand network coverage. You may also monitor regulatory changes and support provider onboarding efforts. This role requires frequent communication, both internally and externally, to ensure quality care delivery and a seamless provider experience.

What job makes $10,000 a month without a degree?

In the provider network field, roles such as experienced healthcare recruiters or independent insurance agents can earn around $10,000 monthly through commissions and bonuses, often without requiring a formal degree. Success in these roles depends on sales skills, industry knowledge, and building a strong network, with some positions offering flexible schedules and remote work options.

What profession makes $400,000 a year?

In the healthcare industry, certain specialized providers such as orthopedic surgeons, neurosurgeons, and cardiologists can earn $400,000 or more annually. These roles typically require advanced medical degrees, board certifications, and extensive experience. High earnings are often associated with private practice, high patient volume, or specialized skills.

What is the highest paid job in networking?

In networking, the highest paid roles are often senior positions such as Network Architects or Chief Network Officers, who design and oversee complex network infrastructure. These roles typically require advanced certifications like Cisco CCIE or Cisco CCNP, along with extensive experience, and can earn six-figure salaries depending on the organization and location.

What does a provider network specialist do?

A provider network specialist manages relationships between healthcare providers and insurance companies, ensuring provider data is accurate and contracts are up to date. They review provider credentials, assist with network development, and use healthcare management systems to support network operations.

What are the key skills and qualifications needed to thrive in the Provider Network position, and why are they important?

To thrive as a Provider Network professional, you need a solid understanding of healthcare operations, provider credentialing, and contract negotiation, typically supported by a bachelor’s degree in healthcare administration or a related field. Familiarity with provider databases, network management systems, and regulatory compliance platforms such as CAQH is often required. Strong relationship-building, problem-solving, and organizational skills set top candidates apart. These abilities are crucial for effectively developing, maintaining, and optimizing provider relationships within health plans or managed care organizations.

What is a Provider Network job?

A Provider Network job involves managing relationships between healthcare providers and insurance companies or healthcare organizations. Responsibilities typically include contracting, credentialing, and ensuring network adequacy to meet patient needs. Professionals in this role negotiate provider agreements, analyze network performance, and ensure compliance with regulations. They play a key role in maintaining access to quality healthcare services for members.

What are the most commonly searched types of Provider Network jobs in Arizona? The most popular types of Provider Network jobs in Arizona are:
What are popular job titles related to Provider Network jobs in Arizona? For Provider Network jobs in Arizona, the most frequently searched job titles are:
What job categories do people searching Provider Network jobs in Arizona look for? The top searched job categories for Provider Network jobs in Arizona are:
What cities in Arizona are hiring for Provider Network jobs? Cities in Arizona with the most Provider Network job openings:
Associate, Network Contracting

Associate, Network Contracting

Oscar Health

Tempe, AZ • Hybrid

$87K - $114K/yr

Other

PTO

Posted 4 days ago


Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

237th of 277 rated insurance


Job description

Hi, we're Oscar. We're hiring an Associate, Network Contracting to join our Specialist 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.

About the role:

You will be responsible for managing contracts with key healthcare providers in Oscar's network (hospital/health systems and large national ancillary groups) 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. Supporting cost saving initiatives, executing national network strategy, and ensuring high performing network development 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 Senior Director, Speciality Contracting.

Work Location: This position is based in our Tempe, Arizona office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid

Pay Transparency: The base pay for this role is: $87,560 - $114,434 per year. You are also eligible for employee benefits, monthly vacation accrual at a rate of 15 days per year, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • Implement contracting strategies under the direction of Network Director and/or Senior Manager and in partnership with Market Leaders that align with the company's overall network adequacy, development and cost management objectives.
  • Manage and negotiate contracts with assigned healthcare providers, focusing on favorable terms and compliance with organizational standards and regulatory requirements.
  • Support comprehensive reviews and analyses of assigned provider contracts, identifying areas for improvement and optimization.
  • Utilize data and analytics of provider financial issues and competitor strategies to support informing negotiation and contracting decisions.
  • Meet defined metrics and SLAs including but not limited to provider outreach and contract completion.
  • Collaborate with the provider services team regarding the servicing, education and communication to our provider network.
  • Monitor assigned networks to gauge compliance with standards, developing corrective action plans with network contracting and market leadership to remediate deficiencies.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • 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

Bonus points:

  • Associate's degree or equivalent professional working experience.