Senior Director, Network Contracting

Oscar Health•Tempe, AZ

1d•Hybrid

About The Position

The Senior Director of Network Contracting is responsible for developing and managing complex provider network strategies, negotiating complex contracts, and fostering strong relationships with healthcare providers, facilities, and ancillary organizations. This role leads the market provider contracting team and collaborates with key internal and external stakeholders to enhance network performance, manage costs, and ensure high-quality care delivery. This role is responsible for developing and implementing strategies related to network development, cost containment, and relationship management with healthcare providers that align with organizational goals within a specific market/region.

Requirements

12+ years of experience in healthcare provider contracting, network development, or related areas.
7+ years experience negotiating complex contracts with hospitals, physician groups, and other healthcare providers.
5+ years of leadership or managerial experience in a healthcare setting.

Nice To Haves

Strong understanding of healthcare delivery systems, reimbursement models, and managed care principles.

Responsibilities

Develop and implement complex contracting strategies in partnership with multiple Market Leaders that align with the company's overall network development and cost management objectives.
Lead and mentor the provider contracting team, setting clear goals and expectations.
Collaborate with the Network Monitoring & Performance team to identify network gaps and develop strategies to expand provider relationships and access to care.
If necessary, be able to source and identify OON provider targets that align with Oscars overall Market strategy
Lead complex contract negotiations with hospitals, physicians, ancillary service providers, and other healthcare entities.
Develop and execute standard and complex contracting agreements that drive financial performance, ensure access to quality care, and support cost control efforts.
Ensure timely resolution of provider issues related to contract terms, reimbursement, and network participation.
Ensure all provider agreements comply with relevant federal, state, and local regulations.
Act as a primary point of contact between the organization and healthcare providers for contracting-related activities.
Build and maintain strong working relationships with providers to foster collaboration and network stability.
Compliance with all applicable laws and regulations
Other duties as assigned