Associate, National Provider Contracting

Oscar Health•Remote, AZ

10d•$87,188 - $127,149•Remote

About The Position

Oscar is hiring an Associate, National Contracting to manage an assigned portfolio of large national ancillary providers and/or multi-state health systems across the contracting lifecycle. The role covers market assessment and recruitment through negotiation, implementation, performance management, renewal, and escalation. In partnership with Network leadership and cross-functional teams, the Associate turns network access and affordability goals into executable contract strategies, uses financial, claims, and provider data to inform negotiations, and maintains productive provider relationships. The role helps ensure contracts are operationally sound, compliant, and support high-quality, cost-effective member care across markets. This is a remote, field-based position open to candidates residing in Alabama, Arizona, California, Florida, Illinois, Iowa, Kansas, Michigan, Mississippi, Missouri, Nebraska, New York, North Carolina, Ohio, or Texas. Work involves a combination of home-office work and frequent local travel for client meetings; occasional travel may be required for team meetings and company events. The position 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 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 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.