Associate, Network Contracting

Hi, we're Oscar. We're hiring a Associate, Network Contracting to join our Network team.

Oscar is the first health insurance company built around a full stack technology platform and a 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.

About the role

The Associate, Network Contracting role is responsible for establishing strong, collaborative relationships with network providers, ensuring compliance with regulatory guidelines, and continuously refining contract terms to align with our strategic goals. The role supports and drives network strategy development and execution, contributing to our overall growth and success. You will focus on understanding market opportunities and pain points, becoming the primary point of contact for providers in the Northeast market.

You will report into the Senior Manager Network Contracting..

Work Location: 

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.  

You must reside in one of the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $98,400 - $129,150 per. year. The base pay for this role in all other locations is: $$88,560 - $116,235 per year. You are also eligible for employee benefits, monthly vacation accrual at a rate of 15 days per year. And annual performance bonuses.

Responsibilities

• Implement contracting strategies under the direction of Network Director and/or Senior Manager and in partnership with Market Leaders that align with our overall network adequacy, development and cost management goals.
• Manage and negotiate contracts with assigned healthcare providers, focusing on favorable terms and compliance with organizational standards and regulatory requirements.
• Serve as a Subject Matter Expert to a small team of contracting specialists and/or analysts, providing guidance and encouraging a collaborative and work environment.
• Supports comprehensive reviews and analyses of assigned provider contracts, identifying areas for improvement and optimization.
• Utilizes data and analytics of provider financial issues and competitor strategies to support informing negotiation and contracting decisions.
• Facilitates guidance and mentorship of more junior team members by reiterating strategic goals, providing training and development opportunities, and promoting a collaborative and work environment.
• Supports implementation of contracting policies and workflows;  supports identifying when effective and efficient contracting processes need improvement  Meet defined metrics and SLAs including but not limited to provider outreach and contract completion. 
• Collaborate with the provider services team regarding the servicing, education and communication to our provider network. 
• Monitor assigned networks to gauge compliance with standards, developing corrective action plans with network contracting and market leadership to improve deficiencies. 
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

Qualifications

• 3+ years of experience in healthcare client management, healthcare consulting, or provider healthcare contracting, healthcare operations, or a related field
• 2+ years of experience supporting provider network strategy development and negotiating provider contracts
• 1+ years experience navigating and organizing large data sets such as claim files and provider rosters
• 1+ years experience running financial analyses on a markets or product lines, and working cross-functionally to support improving opportunities

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. 

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency:  Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

Artificial Intelligence (AI) Guidelines: Please see our AI Guidelines for the acceptable use of artificial intelligence during the interview process at Oscar.

California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Notice to Job Applicants.