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Salary: USD 87,188 - 127,149 / annual
Oscar Health, a technology-driven health insurance company founded in 2012, is hiring an Associate for its National Contracting team. This hybrid role manages a portfolio of large national ancillary providers and multi-state health systems across the full contracting lifecycle—from market assessment and recruitment through negotiation, implementation, performance management, renewal, and escalation.
You will work with Network leadership and cross-functional partners to translate network access and affordability goals into executable contract strategies. The role involves using financial, claims, and provider data to inform negotiations, maintaining durable provider relationships, and ensuring contracts are operationally sound, compliant, and positioned to deliver high-quality, cost-effective member care across markets.
Key responsibilities include:
- Supporting development and execution of national contracting strategies for large ancillary providers and health systems, aligned with network adequacy, access, quality, and cost-management objectives
- Managing an assigned portfolio across the full contracting lifecycle, including prospecting, evaluation, negotiation, implementation, performance management, renewal, and termination
- Preparing for and negotiating complex provider agreements, including reimbursement, operational, data-sharing, performance, and compliance terms
- Coordinating contract implementation with Legal, Finance, Provider Operations, Claims, Credentialing, Configuration, Compliance, and Market teams
- Building and maintaining productive relationships with provider contracting and operational leaders; leading routine business reviews and resolving escalated issues
- Analyzing claims, utilization, reimbursement, provider roster, market, and competitive data to develop negotiation positions and identify performance improvement opportunities
- Monitoring assigned networks and provider performance for access, adequacy, quality, cost, and contractual compliance
- Maintaining accurate contracting pipeline, status, documentation, and provider data; meeting defined service-level agreements and performance metrics
You will report to the Senior Director, Specialty Contracting. The role is remote-based in the field, open to candidates residing in Alabama, Arizona, California, Florida, Illinois, Iowa, Kansas, Michigan, Mississippi, Missouri, Nebraska, New York, North Carolina, Ohio, and Texas. Daily work involves a blend of home office work and frequent local travel for client meetings, with occasional travel for team meetings and company events.
Requirements:
- 3+ years of experience in provider contracting, provider network management, healthcare consulting, healthcare operations, or a related field
- 2+ years of experience supporting provider network strategy and negotiating provider agreements
- Demonstrated experience managing complex, multi-stakeholder contracting work from analysis and negotiation through implementation and ongoing performance management
- Experience building effective relationships with provider contracting and operational leaders and communicating recommendations to internal stakeholders
- 1+ years of experience performing financial analysis for healthcare markets, provider contracts, or product lines and translating findings into negotiation or improvement opportunities
- 1+ years of experience working with large data sets, such as claims, utilization, fee schedules, contract inventories, and provider rosters
Bonus qualifications:
- Bachelor's degree in business, healthcare administration, finance, economics, or a related field, or equivalent professional experience
- Experience contracting with national ancillary provider organizations, multi-state provider groups, or large health systems
- Working knowledge of provider reimbursement methodologies, contract language, claims data, network adequacy, and provider operations
