Remote National Provider Contracting Associate

Oscar Health; Dallas (TX); On-site; USD 87,000 - 114,000; Full time

Benefits offered by this job

Unlimited vacation

Annual performance bonus

Medical, dental, and vision benefits

Job summary

Oscar Health is hiring a Provider Contracting Associate to join our National Contracting team. You will manage an assigned portfolio of national ancillary providers and multi-state health systems across the contracting lifecycle, from market assessment to renewal.

You will report into the Senior Director, Specialty Contracting and collaborate with Legal, Finance, and Operations to translate access and affordability goals into executable contract strategies.

Qualifications

• 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.
• 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.

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; elevate 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

Skills

Provider contracting

Contract negotiations

Data analysis

Financial analysis

Cross-functional collaboration

Project management

Education

Bachelor’s degree in business, healthcare administration, finance, economics, or related

Job description

Oscar Health is hiring a Provider Contracting Associate to join our National Contracting team. You will manage an assigned portfolio of national ancillary providers and multi-state health systems across the contracting lifecycle, from market assessment to renewal.

You will report into the Senior Director, Specialty Contracting and collaborate with Legal, Finance, and Operations to translate access and affordability goals into executable contract strategies.