Oscar Health Insurance Co

Associate, National Provider Contracting

Oscar Health Insurance Co$87K — $114K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 3+ years of experience in provider contracting or related field.
  • 2+ years of experience in provider network strategy and negotiations.
  • Experience managing complex contracting processes from start to finish.
  • Ability to build relationships with stakeholders and communicate effectively.
  • 1+ years of performing financial analysis related to healthcare contracts.
  • Experience working with large datasets relevant to provider contracting.

Responsibilities

  • Support national contracting strategies for large ancillary providers and health systems.
  • Manage an assigned portfolio through the entire contracting lifecycle.
  • Negotiate complex provider agreements including reimbursement and compliance terms.
  • Coordinate contract implementation with various internal teams for operational readiness.
  • Build and maintain relationships with provider leaders and resolve issues.
  • Analyze data to develop negotiation strategies and identify improvement opportunities.
  • Monitor provider network performance, escalating risks as necessary.

Benefits

  • Medical, dental, and vision insurance.
  • 11 paid holidays and sick time.
  • Paid parental leave and wellness time.
  • 401(k) plan participation.
  • Life and disability insurance.
Full Job Description
Hi, we're Oscar. We're hiring a Provider Contracting Associate to join our National Contracting team.

About the role:

The Associate, National Contracting manages an assigned portfolio of large national ancillary providers and/or multi-state health systems across the contracting lifecycle-from market assessment and recruitment through negotiation, implementation, performance management, renewal, and escalation. Working with Network leadership and cross-functional partners, this role translates network access and affordability goals into executable contract strategies; uses financial, claims, and provider data to inform negotiations; and maintains durable provider relationships. The Associate helps ensure contracts are operationally sound, compliant, and positioned to deliver high-quality, cost-effective member care across markets.

You will report into the Senior Director, Specialty Contracting.

Work Location: This is a remote position based in the field, open to candidates who reside: Alabama, Arizona, California, Florida, Illinois, Iowa, Kansas, Michigan, Mississippi, Missouri, Nebraska, New York, North Carolina, Ohio and Texas. Your daily work will involve a blend of work from your home office and frequent local travel for client meetings. Occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency: Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $96,876 - $127,149 per year. The base pay for this role in all other locations is: $87,188- $114,434 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:
  • Support the development and execution of national contracting strategies for large ancillary providers and/or health systems, aligned with network adequacy, access, quality, and cost-management objectives.
  • Manage an assigned portfolio across the full contracting lifecycle, including prospecting, evaluation, negotiation, implementation, performance management, renewal, and termination.
  • Prepare for and negotiate complex provider agreements, including reimbursement, operational, data-sharing, performance, and compliance terms, within established authority and escalation guidelines.
  • Coordinate contract implementation with Legal, Finance, Provider Operations, Claims, Credentialing, Configuration, Compliance, and Market teams to ensure accurate and timely operational readiness.
  • Build and maintain productive relationships with provider contracting and operational leaders; lead routine business reviews, resolve escalated issues, and coordinate corrective action plans.
  • Analyze claims, utilization, reimbursement, provider roster, market, and competitive data to develop negotiation positions, quantify financial impact, and identify performance improvement opportunities.
  • Monitor assigned networks and provider performance for access, adequacy, quality, cost, and contractual compliance; escalate risks and support remediation with Network and Market leadership.
  • Maintain accurate contracting pipeline, status, documentation, and provider data; meet defined service-level agreements and performance metrics for outreach, negotiations, and contract completion.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

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 points:
  • 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.


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

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.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

About Oscar Health Insurance Co

Oscar Health Insurance Co. is a technology-driven health insurance company founded in 2012 and headquartered in New York City. The company offers individual and family health insurance plans, as well as Medicare Advantage plans. Oscar Health Insurance Co. uses technology to simplify the health insurance experience for its customers, including a mobile app that allows customers to manage their health insurance policies and access telemedicine services. The company has raised over $1 billion in funding and is valued at over $5 billion.
Learn more about Oscar Health Insurance Co
Size
4,000 employees
Market Cap
$466 million
Industry
Founded
2012
NASDAQ

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