Contract Load Representative

Job Description

Job Description

Hi, we're Oscar. We're hiring a Contract Load Representative to join our Contract Loading 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:

The Contract Load Representative is responsible for validating, configuring, and maintaining executed provider contracts and amendments. This role owns end-to-end contract configuration in internal systems, resolves complex provider and member issues, and collaborates with cross-functional teams to ensure data accuracy and operational efficiency.

You will report into the Associate Manager, Provider Data Operations.

Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role is: $19.00 per hour. You are also eligible for employee benefits, monthly vacation accrual at a rate of 15 days per year.

Responsibilities:

• Review and configure executed provider contracts, amendments, W-9s, rosters, and supporting documentation for completeness, accuracy, and readiness for configuration.
• Coordinate with Network Contracting, Credentialing, Roster Operations, Rate Configuration, and leadership to resolve missing information, clarify contract intent, and manage downstream dependencies.
• Escalate incomplete documentation, contract discrepancies, duplicate records, complex interpretation questions, and system issues.
• Develop a comprehensive understanding of the current processes, procedures, and tools associated with the Oscar business model.
• Interact daily with Internal departments through multiple channels according to assignment needs
• Manage an assigned caseload while maintaining service delivery, productivity, and quality expectations
• Form working relationships with internal stakeholders.
• Support the leadership team by identifying issues through established escalation pathways
• Be accountable for monitoring and tracking the health of all assigned work-in-progress issues.
• Escalate and resolve issues to ensure appropriate turnaround times
• Be an active participant in process improvement initiatives
• Comply with all operational, regulatory, and compliance standards relating to member Personal Health Information (PHI)
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• High school diploma or GED
• 1+ years of experience in a fast-paced healthcare environment
• Advanced Google Suite or Microsoft Office capabilities
• Experience manipulating and entering accurate data in a production driven environment

Bonus points:

• In-depth knowledge of provider contracts
• Experience configuring provider contracts
• Strong verbal and written communication skills
• Strong quantitative or analytical skills focused on proactively identifying or solving problems

This is an authentic Oscar Health job opportunity.

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.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

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 (View email address on ziprecruiter.com) to make the need for an accommodation known.

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