Remote Health System Contracting Associate

Oscar Health, Inc.; South Carolina; Hybrid; USD 87,000 - 114,000; Full time

Job summary

Oscar Health, Inc. is seeking a Health System Contracting Associate to join our Network Contracting team.

You will evaluate, negotiate, and manage partnerships with hospitals and health systems to improve affordability, network access, and member experience. Based remotely with eligibility for candidates in GA, NC, or SC, the role involves cross-functional collaboration, market analysis, and supporting complex contract negotiations.

Qualifications

• 3+ years of experience in healthcare client management, healthcare consulting, strategy and operations, healthcare contracting, healthcare finance, payer or provider operations, or a related analytical field.
• 2+ years of experience supporting analytical or strategic workstreams and developing recommendations for senior stakeholders.
• 1+ years experience analyzing complex financial or operational data and translating findings into actionable business recommendations.
• 1+ years experience navigating and organizing large data sets such as hospital price transparency reimbursement, claim files and provider rosters.
• Experience supporting negotiations, commercial agreements, strategic partnerships, or other complex, cross-functional initiatives.

Responsibilities

• Support the development and execution of market-level contracting strategies that advance Oscar's network adequacy, growth, affordability, and member-experience objectives.
• Analyze and evaluate provider economics, reimbursement arrangements, utilization, competitive dynamics, and contract performance.
• Translate complex financial and operational analyses into clear recommendations for negotiation strategy and contracting decisions.
• Prepare for and participate in negotiations with hospitals and health systems, including developing reimbursement rate models, contract positions, presentation materials, and scenario analyses.
• Negotiate and manage contracts with assigned healthcare providers, with guidance from senior team members, focusing on sustainable economics, clear terms, and compliance with organizational and regulatory requirements.
• Conduct comprehensive reviews of existing provider agreements to identify financial, operational, and contractual improvement opportunities.
• Manage cross-functional contracting workstreams from initial analysis through negotiation, execution, and implementation, proactively identifying risks and driving issues to resolution.
• Support improvements to contracting tools, policies, workflows, and performance reporting.
• Monitor assigned networks to gauge compliance with standards, developing corrective action plans with network contracting and market leadership to remediate deficiencies.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Skills

Analytical thinking

Strategic thinking

Negotiation support

Relationship management

Education

Associate’s degree or equivalent professional working experience

Tools

Excel

SQL

Google Sheets

Job description

Oscar Health, Inc. is seeking a Health System Contracting Associate to join our Network Contracting team.

You will evaluate, negotiate, and manage partnerships with hospitals and health systems to improve affordability, network access, and member experience. Based remotely with eligibility for candidates in GA, NC, or SC, the role involves cross-functional collaboration, market analysis, and supporting complex contract negotiations.