Hi, we're Oscar. We're hiring a Director, Network Contracting & Services to join our Network team.
Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.
About the roleYou will report into the Vice President, Network Management.
Work Location:
Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.
If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.
You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote
Pay Transparency:
The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $158,400 - $207,900 per year. The base pay for this role in all other locations is: $142,560 - $187,110 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program, company equity grants, and annual performance bonuses.
Responsibilities- Develop and implement contracting strategies in partnership with Market Leaders that align with the company’s overall network development and cost management objectives.
- Lead and mentor the provider contracting team, setting clear goals and expectations.
- Collaborate with the Network Monitoring & Performance team to identify network gaps and develop strategies to expand provider relationships and access to care.
- If necessary, be able to source and identify OON provider targets that align with Oscars overall Market strategy
- Lead contract negotiations with hospitals, physicians, ancillary service providers, and other healthcare entities.
- Develop and execute contracting agreements that drive financial performance, ensure access to quality care, and support cost control efforts.
- Ensure timely resolution of provider issues related to contract terms, reimbursement, and network participation.
- Ensure all provider agreements comply with relevant federal, state, and local regulations.
- Act as a primary point of contact between the organization and healthcare providers for contracting-related activities.
- Build and maintain strong working relationships with providers to foster collaboration and network stability.
- Compliance with all applicable laws and regulations
- Other duties as assigned
- 10+ years of experience in healthcare provider contracting, network development, or related areas - preferably within the ACA space.
- 5+ years experience negotiating complex contracts with hospitals, physician groups, and other healthcare providers.
- 4+ years of leadership or managerial experience in a healthcare setting.
- Provider contracting experience within some or all of the Northeast Region (NJ, NY, PA, etc)
- Strong understanding of healthcare delivery systems, reimbursement models, and managed care principles.
- Up to 25%
This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.
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. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team ([email protected]) to make the need for an accommodation known.
Artificial Intelligence (AI) Guidelines: Please see our AI Guidelines for the acceptable use of artificial intelligence during the interview process at Oscar.
California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Notice to Job Applicants.
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