Oscar Health
Associate, Network Contracting & Services - Southeast Region
Oscar Health, New York, New York, us, 10261
Associate, Network Contracting & Services - Southeast Region
Hi, we’re Oscar. We’re hiring an Associate to join our Network Contracting & Services team. Oscar is the first health insurance company built around a full‑stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.
About The Role The Associate, Network Contracting & Services is responsible for managing contracts with key healthcare providers in Oscar's network (hospital/health systems and individual provider groups) to build and maintain a robust network in an assigned market/region; 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. The Associate also supports network growth and recruiting efforts by engaging with prospective providers directly, assisting with resolution of provider issues, supporting cost‑saving initiatives, executing the local network strategy, and ensuring providers across our service area have the information and support they need to provide best‑in‑class member care. You will report into the Senior Manager, Network Contracting.
Location & Travel This position is based in our New York City office, requiring a hybrid work schedule with three days of in‑office work per week. Thursdays are a required in‑office day for team meetings and events; your other two office days are flexible to suit your schedule. Travel up to 25% of the time may be required.
Pay Transparency The base pay for this role is: $98,400 – $129,150 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities
Implement contracting strategies under the direction of Network Director 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 inform negotiation and contracting decisions.
Meet defined metrics and service‑level agreements, 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.
Ensure compliance with all applicable laws and regulations.
Perform other duties as assigned.
Requirements
3+ years of experience in healthcare client management, healthcare consulting, or provider healthcare contracting, healthcare operations, or a related field.
2+ years of experience supporting provider network strategy development and negotiating provider contracts.
1+ year of experience running financial analyses on markets or product lines, and working cross‑functionally to support driving improvement opportunities.
1+ year of experience navigating and organizing large data sets such as claim files and provider rosters.
Bonus Points
Associate's degree or equivalent professional working experience.
Additional Information
Seniority level: Mid‑Senior level
Employment type: Full‑time
Job function: Information Technology
Industry: Insurance
Benefits include medical, dental, vision, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
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. We’re on a mission to change health care—an experience made whole by our unique backgrounds and perspectives.
Legal Statements 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. Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Reasonable accommodations may be requested. For California residents, please see the Privacy Policy.
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About The Role The Associate, Network Contracting & Services is responsible for managing contracts with key healthcare providers in Oscar's network (hospital/health systems and individual provider groups) to build and maintain a robust network in an assigned market/region; 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. The Associate also supports network growth and recruiting efforts by engaging with prospective providers directly, assisting with resolution of provider issues, supporting cost‑saving initiatives, executing the local network strategy, and ensuring providers across our service area have the information and support they need to provide best‑in‑class member care. You will report into the Senior Manager, Network Contracting.
Location & Travel This position is based in our New York City office, requiring a hybrid work schedule with three days of in‑office work per week. Thursdays are a required in‑office day for team meetings and events; your other two office days are flexible to suit your schedule. Travel up to 25% of the time may be required.
Pay Transparency The base pay for this role is: $98,400 – $129,150 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities
Implement contracting strategies under the direction of Network Director 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 inform negotiation and contracting decisions.
Meet defined metrics and service‑level agreements, 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.
Ensure compliance with all applicable laws and regulations.
Perform other duties as assigned.
Requirements
3+ years of experience in healthcare client management, healthcare consulting, or provider healthcare contracting, healthcare operations, or a related field.
2+ years of experience supporting provider network strategy development and negotiating provider contracts.
1+ year of experience running financial analyses on markets or product lines, and working cross‑functionally to support driving improvement opportunities.
1+ year of experience navigating and organizing large data sets such as claim files and provider rosters.
Bonus Points
Associate's degree or equivalent professional working experience.
Additional Information
Seniority level: Mid‑Senior level
Employment type: Full‑time
Job function: Information Technology
Industry: Insurance
Benefits include medical, dental, vision, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
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. We’re on a mission to change health care—an experience made whole by our unique backgrounds and perspectives.
Legal Statements 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. Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Reasonable accommodations may be requested. For California residents, please see the Privacy Policy.
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