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Salary: USD 87,188 - 114,434 / annual
Oscar Health is seeking an Associate for National Provider Contracting to manage a portfolio of large national ancillary providers and multi-state health systems across the full contracting lifecycle. This role sits within the National Contracting team and reports to the Senior Director, Specialty Contracting.
Key responsibilities include developing and executing national contracting strategies aligned with network adequacy, access, quality, and cost-management objectives. You will manage assigned provider portfolios from prospecting and evaluation through negotiation, implementation, performance management, renewal, and termination. The role involves preparing for and negotiating complex provider agreements covering reimbursement, operational, data-sharing, performance, and compliance terms within established authority guidelines.
You will coordinate contract implementation across Legal, Finance, Provider Operations, Claims, Credentialing, Configuration, Compliance, and Market teams to ensure accurate and timely operational readiness. Building and maintaining productive relationships with provider contracting and operational leaders is central to the role, including leading routine business reviews, resolving escalated issues, and coordinating corrective action plans.
The Associate will analyze claims, utilization, reimbursement, provider roster, market, and competitive data to develop negotiation positions, quantify financial impact, and identify performance improvement opportunities. You will monitor assigned networks and provider performance for access, adequacy, quality, cost, and contractual compliance, escalating risks and supporting remediation with Network and Market leadership.
The position is field-based and remote, with work conducted from your home office and frequent local travel for client meetings across assigned states (Alabama, Arizona, Florida, Illinois, Iowa, Kansas, Michigan, Mississippi, Missouri, Nebraska, North Carolina, Ohio, and Texas). Occasional travel may be required for team meetings and company events.
Required qualifications include 3+ years in provider contracting, provider network management, healthcare consulting, healthcare operations, or related field; 2+ years supporting provider network strategy and negotiating provider agreements; demonstrated experience managing complex, multi-stakeholder contracting work; experience building effective relationships with provider leaders; 1+ years performing financial analysis for healthcare markets or contracts; and 1+ years working with large data sets such as claims, utilization, fee schedules, and provider rosters.
Bonus qualifications include a bachelor's degree in business, healthcare administration, finance, economics, or related field; experience contracting with national ancillary providers, multi-state provider groups, or large health systems; and working knowledge of provider reimbursement methodologies, contract language, claims data, network adequacy, and provider operations.
