Associate, Network Contracting (Northeast Region)

Oscar Health•New York, NY

2d•$96,876 - $127,149•Remote

About The Position

The Associate, Network Contracting & Services manages contracts with key healthcare providers, including hospital and health systems and individual provider groups, to build and maintain a robust network in an assigned market or region. The role supports access to quality care and cost optimization through provider performance analysis and reimbursement negotiations, which may involve complex contract terms and regulatory requirements. The Associate supports network growth and recruiting by engaging prospective providers, resolving provider issues, supporting cost-saving initiatives, executing local network strategy, and ensuring providers have the information and support needed to deliver member care. This is a remote, field-based position for candidates residing in New York, combining work from a home office with client-meeting travel. Travel may be up to 25%, with occasional travel for team meetings and company events. The role reports to the Manager, Network Contracting.

Requirements

3+ years of experience in healthcare client management, healthcare consulting, 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 improvement opportunities.
1+ year of experience navigating and organizing large data sets, such as claim files and provider rosters.

Nice To Haves

Associate's degree or equivalent professional working experience.

Responsibilities

Implement contracting strategies under the direction of the Network Director and/or Senior Manager, in partnership with Market Leaders, aligned with 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 opportunities for improvement and optimization.
Use provider financial issue and competitor strategy data and analytics to inform negotiation and contracting decisions.
Meet defined metrics and service-level agreements, including provider outreach and contract completion.
Collaborate with the provider services team on servicing, education, and communication with the provider network.
Monitor assigned networks for compliance with standards and develop corrective action plans with network contracting and market leadership to address deficiencies.
Comply with applicable laws and regulations.
Perform other duties as assigned.
Engage prospective providers and support network growth and recruiting efforts.
Assist with provider issue resolution, cost-saving initiatives, and execution of local network strategy.