Associate, Network Contracting

About the role You will be responsible for managing contracts with key healthcare providers in Oscar's network (hospital/health systems and large national ancillary groups) to build and maintain a robust network while also ensuring access to quality care and optimizing costs by analyzing provider performance and negotiating reimbursement rates, often involving complex contract terms and compliance with regulatory guidelines. You will support cost saving initiatives, execute national network strategy, and ensure high performing network development and that providers across our service area have the information and support they need to provide best‑in‑class member care. Work Location This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in‑office work per week. Thursdays are a required in‑office day for team meetings and events while your other two office days are flexible. Pay Transparency Base pay for this role is $96,876 - $127,149 per year. You are also eligible for benefits including medical, dental and vision coverage, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, paid wellness time and reimbursements. In addition, you will receive monthly vacation accrual at a rate of 15 days per year, participation in an unlimited vacation program 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 the company's overall network adequacy, development and cost management objectives. Manage and negotiate contracts with assigned healthcare providers, focusing on favorable terms and compliance with organizational standards and regulatory requirements. Support comprehensive reviews and analyses of assigned provider contracts, identifying areas for improvement and optimization. Utilize data and analytics of provider financial issues and competitor strategies to support informing negotiation and contracting decisions. 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 remediate deficiencies. Compliance with all applicable laws and regulations. Other duties as assigned. Requirements 3+ years of experience in healthcare client management, healthcare consulting, 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 running financial analyses on markets or product lines, and working cross‑functionally to support driving improvement opportunities. 1+ years experience navigating and organizing large data sets such as claim files and provider rosters. Bonus Points Associate's degree or equivalent professional working experience. Equal Opportunity Employer 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. 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. 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 (View email address on click.appcast.io) to make the need for an accommodation known. 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 Privacy Policy. #J-18808-Ljbffr