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Salary: USD 87,188 - 127,149 / annual
Oscar Health is seeking an Associate, National Provider Contracting to join its National Contracting team. This hybrid role is based in the field across multiple states (Alabama, Arizona, California, Florida, Illinois, Iowa, Kansas, Michigan, Mississippi, Missouri, Nebraska, New York, North Carolina, Ohio, and Texas), combining home office work with frequent local travel for client meetings.
In this role, you will manage an assigned 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 closely with Network leadership and cross-functional partners to translate network access and affordability goals into executable contract strategies.
Key responsibilities include:
- Supporting development and execution of national contracting strategies aligned with network adequacy, access, quality, and cost-management objectives
- Managing assigned portfolios across the full contracting lifecycle, including prospecting, evaluation, negotiation, implementation, performance management, renewal, and termination
- Preparing for and negotiating complex provider agreements covering 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 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, documentation, and provider data while meeting defined service-level agreements
You will report to the Senior Director, Specialty Contracting.
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
- 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
