Contract Load Representative
Core
Validating, configuring, and maintaining executed provider contracts and amendments in internal systems to ensure data accuracy and operational efficiency.
Role type
Contract Load Representative (Provider Data Operations)
Builds
Configured provider contract data and amendments for Oscar's health insurance platform
Domain
Health Insurance / Provider Contract Management
Required skills
Provider contract validation, contract configuration, data entry accuracy, cross-functional coordination, issue escalation, process compliance, caseload management, regulatory compliance (PHI)
Preferred skills
In-depth knowledge of provider contracts, contract configuration experience, quantitative/analytical problem solving
Technologies
Google Suite, Microsoft Office
Responsibilities
Review and configure executed provider contracts, amendments, W-9s, rosters, and supporting documentation; Coordinate with Network Contracting, Credentialing, Roster Operations, Rate Configuration, and leadership to resolve missing information; Escalate incomplete documentation, contract discrepancies, duplicate records, complex interpretation questions, and system issues; Manage an assigned caseload while maintaining service delivery, productivity, and quality expectations; Comply with all operational, regulatory, and compliance standards relating to member Personal Health Information (PHI)
Seniority
Entry-level, hands-on IC
