About the role:The Senior Director of Network Contracting is responsible for developing and managing complex provider network strategies, negotiating complex contracts, and fostering strong relationships with healthcare providers, facilities, and ancillary organizations for complex This role leads the market provider contracting team and collaborates with key internal and external stakeholders to enhance network performance, manage costs, and ensure high-quality care delivery. This role is responsible for developing and implementing strategies related to network development, cost containment, and relationship management with healthcare providers that align with organizational goals within a specific market/region.
You will report into the Vice President, Network Management.
Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote
Pay Transparency: The base pay for this role is: $178,848 - $234,738 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants and annual performance bonuses.
Responsibilities:- Develop and implement complex contracting strategies in partnership with multiple Market Leaders that align with the company's overall network development and cost management objectives.
- Lead and mentor the provider contracting team, setting clear goals and expectations.
- Collaborate with the Network Monitoring & Performance team to identify network gaps and develop strategies to expand provider relationships and access to care.
- If necessary, be able to source and identify OON provider targets that align with Oscars overall Market strategy
- Lead complex contract negotiations with hospitals, physicians, ancillary service providers, and other healthcare entities.
- Develop and execute standard and complex contracting agreements that drive financial performance, ensure access to quality care, and support cost control efforts.
- Ensure timely resolution of provider issues related to contract terms, reimbursement, and network participation.
- Ensure all provider agreements comply with relevant federal, state, and local regulations.
- Act as a primary point of contact between the organization and healthcare providers for contracting-related activities.
- Build and maintain strong working relationships with providers to foster collaboration and network stability.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements:- 12+ years of experience in healthcare provider contracting, network development, or related areas.
- 7+ years experience negotiating complex contracts with hospitals, physician groups, and other healthcare providers.
- 5+ years of leadership or managerial experience in a healthcare setting.
Bonus points:- Strong understanding of healthcare delivery systems, reimbursement models, and managed care principles.
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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.
