Manage and negotiate contracts with healthcare providers to build and maintain a robust network.
Utilize data and analytics to inform negotiation decisions and optimize costs.
Oversee team performance and collaborate with provider services to ensure best-in-class member care.
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.
Coordinate the end-to-end provider enrollment process, preparing and submitting applications to Medicare, Medicaid, and other payers.
Maintain accuracy of provider data in systems like NPPES, PECOS, and CAQH, and track facility privileging requirements.
Collaborate with internal teams to align enrollment timelines and ensure compliance with federal, state, and facility regulations.
Curana Health is a national leader in value-based care for older adults, providing primary care services and care coordination in senior living communities and skilled nursing facilities. Founded in 2021, the company serves over 200,000 seniors across 1,500+ communities and employs more than 1,000 clinicians, with a fast-paced, mission-driven culture.
Own the strategy and performance of a complex portfolio of primary care partnerships, driving adoption, retention, and measurable performance improvement.
Build trusted relationships with clinical and operational leaders, serving as a strategic advisor on value-based care and workflow transformation.
Analyze data, lead performance reviews, and implement interventions to ensure sustained provider success and expansion.
Counterpart Health, a subsidiary of Clover Health, develops AI-enabled technology that supports primary care physicians in diagnosing and managing chronic conditions. They are a remote-first company with a diverse team of experts in value-based care and technology, dedicated to improving patient outcomes and reducing healthcare costs.
Supports the review of contract proposals, language and rate sheets to ensure accuracy and compliance with standards.
Assists leadership with project plans, meeting minutes, and action items related to national payer renewals.
Coordinates with team members to ensure contract documents are signed and stored according to policies.
Dignity Health, part of CommonSpirit Health, is a nonprofit Catholic healthcare organization providing integrated health services. It has over 157,000 employees and 45,000 nurses, delivering more than 20 million patient encounters annually.
Enroll practitioners in health plans accurately and timely, monitoring progress and ensuring completion.
Validate and maintain provider enrollment forms, applications, and tracking systems.
Communicate with internal teams to meet enrollment goals and target start dates.
Pediatrix Medical Group is one of the nation's largest providers of prenatal, neonatal and pediatric services. With a focus on team approach, the company is home to a diverse group of business professionals dedicated to improving patient lives.
Prepare and submit provider enrollment applications and gather supporting documentation.
Track application status, follow up with payers, and resolve enrollment discrepancies.
Maintain accurate provider records in internal systems and coordinate with billing and credentialing teams.
We are a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. Our team is fully remote and we value collaboration and attention to detail.
Own the full practice relationship from identification and acquisition to ongoing performance management and retention.
Conduct monthly performance reviews and coaching sessions with practice leadership to drive improvement.
Serve as the primary liaison between practices and Guidehealth's clinical pillars, ensuring service delivery and satisfaction.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to making great healthcare affordable and improving patient outcomes through AI and predictive analytics. It is a growing, physician-led organization that operates with agility and a collaborative culture focused on value-based care.