Remote National Provider Contracting Associate

Oscar Health; Phoenix (AZ); A distancia; USD 87.000 - 114.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Unlimited vacation

Annual performance bonuses

Descripción de la vacante

Oscar Health is seeking a Provider Contracting Associate to join our National Contracting team. This remote role supports an assigned portfolio of national ancillary providers and multi-state health systems across the contracting lifecycle, from market assessment to renewal.

You will collaborate with Network leadership and cross-functional partners to translate access and affordability goals into executable strategies, using data to guide negotiations and maintain durable provider relationships.

Formación

• 3+ years of experience in provider contracting, provider network management, healthcare operations, or related field.
• 2+ years supporting provider network strategy and negotiating provider agreements.
• Experience managing complex, multi-stakeholder contracting from analysis to implementation.
• Experience building relationships with provider contracting and operational leaders.
• 1+ years of financial analysis for healthcare markets, provider contracts, or product lines.
• 1+ years working with large data sets (claims, utilization, provider rosters).

Responsabilidades

• 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.
• 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.

Conocimientos

Provider contracting

Provider network management

Financial analysis

Data analytics

Stakeholder management

Communication

Educación

Bachelor’s degree

Descripción del empleo

Oscar Health is seeking a Provider Contracting Associate to join our National Contracting team. This remote role supports an assigned portfolio of national ancillary providers and multi-state health systems across the contracting lifecycle, from market assessment to renewal.

You will collaborate with Network leadership and cross-functional partners to translate access and affordability goals into executable strategies, using data to guide negotiations and maintain durable provider relationships.