Associate, National Provider Contracting

Oscar Health•Remote, AZ

5d•$87,188 - $127,149•Remote

About The Position

Oscar is hiring a Provider Contracting Associate to join its National Contracting team. Oscar is a health insurance company built on a full stack technology platform with a focus on serving its members. The Associate, National Contracting will manage an assigned portfolio of large national ancillary providers and/or multi-state health systems throughout the contracting lifecycle. This includes market assessment, recruitment, negotiation, implementation, performance management, renewal, and escalation. The role involves translating network access and affordability goals into executable contract strategies, using financial, claims, and provider data for negotiations, and maintaining provider relationships. The Associate will ensure contracts are operationally sound, compliant, and deliver high-quality, cost-effective member care. This role reports to the Senior Director, Specialty Contracting.

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.

Nice To Haves

Bachelor’s degree in business, healthcare administration, finance, economics, or a related field, or equivalent professional experience.
Experience contracting with national ancillary provider organizations, multi-state provider groups, or large health systems.
Working knowledge of provider reimbursement methodologies, contract language, claims data, network adequacy, and provider operations.

Responsibilities

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.
Compliance with all applicable laws and regulations
Other duties as assigned