Associate, National Provider Contracting

🔥 0 minutes ago

🏈 Alabama, Arizona, +13 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote 🏄 California – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🌾 Nebraska – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🚗 Michigan – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🤠 Texas – Remote

💵 $87.2k - $114.4k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Oscar Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2012

⚕️ Healthcare Insurance

🏥 Healthcare

💰 $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 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. • Comply with all applicable laws and regulations. • Perform 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. • Bachelor’s degree in business, healthcare administration, finance, economics, or a related field, or equivalent professional experience. (Bonus points.) • Experience contracting with national ancillary provider organizations, multi-state provider groups, or large health systems. (Bonus points.) • Working knowledge of provider reimbursement methodologies, contract language, claims data, network adequacy, and provider operations. (Bonus points.)

🏖️ 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 and reimbursements