Oscar Health is hiring a Senior Manager, Network Contracting & Services for the Southeast region. In this role, you will lead a team focused on negotiating, executing, and analyzing contracts with large and complex healthcare providers to maintain and enhance our network while meeting accessibility, quality, and financial goals.

What You'll Do

Help inform and drive implementation of contracting strategies with Market Leaders that align with network adequacy, development, and cost management objectives.
Lead contract settlement negotiations, striving to reach mutually beneficial agreements with providers.
Manage and negotiate complex contracts, including Value Based Care agreements, with healthcare providers.
Oversee a team of contracting managers, associates, and specialists, providing leadership, guidance, and mentorship.
Conduct comprehensive reviews and analyses of provider contracts, identifying areas for improvement.
Utilize knowledge of provider financial issues and competitor strategies to inform negotiation decisions.
Drive implementation of contracting policies and workflows across the team to ensure efficient processes.
Monitor and analyze key metrics for network performance, cost, and provider satisfaction, and report to leadership.
Ensure timely resolution of provider issues related to contract terms, reimbursement, and network participation.
Build and maintain positive relationships with healthcare providers to ensure network stability and quality.
Ensure compliance with all applicable laws and regulations.

What We're Looking For

6+ years in healthcare network contracting, including executing contracts with health systems, hospitals, or national providers.
4+ years of experience managing complex Provider Network strategies and negotiating complex contracts.
3+ years of leadership experience.
3+ years experience in Health Insurance (Individual and/or Medicare Advantage) and/or the Healthcare industry.

Nice to Have

Bachelor's degree or equivalent professional working experience.
Experience with Value Based Care contracting.

Team & Environment

You will lead a team of direct and indirect reports and report to the Director, Network Contracting & Services.

Benefits & Compensation

Comprehensive employee benefits: medical, dental, and vision.
11 paid holidays, paid sick time, and paid parental leave.
401(k) plan participation.
Life and disability insurance.
Paid wellness time and reimbursements.
Participation in Oscar's unlimited vacation program.
Annual performance bonuses.
Base pay for New Jersey or New York: $119,200 - $156,450 per year.
Base pay for all other locations: $107,280 - $140,805 per year.

Work Mode

This is a remote position open to candidates in Alabama, Georgia, Tennessee, North Carolina, and New York.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support.