Associate, Health System Contracting

🔥 0 minutes ago

🌲 North Carolina, South Carolina – Remote

🌲 North Carolina – Remote 🌴 South Carolina – Remote

💵 $87.2k - $114.4k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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Oscar Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2012

⚕️ Healthcare Insurance

🏥 Healthcare

🔥 Funding within the last year

💰 $355M Post-IPO Debt - Oscar Health on 2025-09

Healthcare Insurance • Healthcare

Oscar Health is a technology-driven health insurance company that provides individual, family, and small-group health plans in multiple U. S. states. Oscar combines traditional insurance underwriting with digital-first services — a consumer-facing app, 24/7 virtual urgent care, prescription delivery (including $3 meds in many plans), and dedicated Care Teams — and also operates Oscar Primary Care in some markets. The company emphasizes accessible, affordable, high-quality care and uses AI to improve member experience and care delivery. Insurance policies are underwritten by Oscar's state insurance subsidiaries and the company offers both HMO and other plan types across its markets.

📋 Description

• Support the development and execution of market-level contracting strategies advancing network adequacy, growth, affordability, and member-experience objectives. • Analyze provider economics, reimbursement arrangements, utilization, competitive dynamics, and contract performance. • Translate complex financial and operational analyses into recommendations for negotiation strategy and contracting decisions. • Prepare for and participate in negotiations with hospitals and health systems, including reimbursement rate models, contract positions, presentation materials, and scenario analyses. • Negotiate and manage contracts with assigned healthcare providers under senior team guidance. • Review existing provider agreements to identify financial, operational, and contractual improvement opportunities. • Manage cross-functional contracting workstreams from analysis through negotiation, execution, and implementation. • Improve contracting tools, policies, workflows, and performance reporting. • Monitor assigned networks for compliance and develop corrective action plans. • Comply with applicable laws and regulations. • Perform other duties as assigned. • Report to the Manager, Network Contracting.

🎯 Requirements

• 3+ years of experience in healthcare client management, healthcare consulting, strategy and operations, healthcare contracting, healthcare finance, payer or provider operations, or a related analytical field. • 2+ years of experience supporting analytical or strategic workstreams and developing recommendations for senior stakeholders. • 1+ years experience analyzing complex financial or operational data and translating findings into actionable business recommendations. • 1+ years experience navigating and organizing large data sets such as hospital price transparency reimbursement, claim files and provider rosters • Experience supporting negotiations, commercial agreements, strategic partnerships, or other complex, cross-functional initiatives. • Advanced proficiency in Excel or Google Sheets; experience with SQL or other analytical tools. • Candidates must reside in Georgia, North Carolina, or South Carolina.

🏖️ Benefits

• Employee benefits • Unlimited vacation program • Annual performance bonuses • Medical benefits • Dental benefits • Vision benefits • 11 paid holidays • Paid sick time • Paid parental leave • 401(k) plan participation • Life insurance • Disability insurance • Paid wellness time • Wellness reimbursements