Remote National Provider Contracting Associate

Oscar Health; United States; Remote; USD 87,000 - 127,000; Full time

Benefits offered by this job

Unlimited vacation

Annual performance bonus

Benefits including medical/dental/eye

Job summary

Oscar Health is seeking a remote Associate, National Provider Contracting to manage a portfolio of national providers across the contracting lifecycle. You’ll translate network access and affordability goals into contract strategies, using claims and provider data to inform negotiations.

Reporting to the Senior Director, Specialty Contracting, this role blends field work with cross-functional collaboration.

Qualifications

• 3+ years in provider contracting, provider network management, healthcare consulting, healthcare operations, or related field.
• 2+ years 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.
• Experience building effective relationships with provider contracting and operational leaders and communicating recommendations to internal stakeholders.
• 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.
• Bachelor’s degree in business, healthcare administration, finance, economics, or a related field, or equivalent professional experience.
• Experience contracting with national ancillary provider organizations, multi-state provider groups, or large health systems.
• Working knowledge of provider reimbursement methodologies, contract language, claims data, network adequacy, and provider operations.

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

Negotiations

Data analysis

Stakeholder management

Contract management

Financial analysis

Education

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

Job description

Oscar Health is seeking a remote Associate, National Provider Contracting to manage a portfolio of national providers across the contracting lifecycle. You’ll translate network access and affordability goals into contract strategies, using claims and provider data to inform negotiations.

Reporting to the Senior Director, Specialty Contracting, this role blends field work with cross-functional collaboration.