Director, Network Contracting & Services

Summary

Join Oscar as our Director, Network Contracting & Services and lead our South East region provider contracting team. Develop and implement contracting strategies, negotiate agreements, and manage provider relationships to ensure a high-quality, cost-effective network. Mentor your team, collaborate with internal and external stakeholders, and ensure compliance with regulations. This role requires significant experience in healthcare provider contracting and leadership. The position offers a competitive salary, benefits, unlimited vacation, equity grants, and performance bonuses. Work location is flexible, with a blended work culture and remote options available.

Requirements

• 10+ years of experience in healthcare provider contracting, network development, or related areas
• 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

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

Preferred Qualifications

• Strong understanding of healthcare delivery systems, reimbursement models, and managed care principles
• Provider contracting experience within the South East region (including Florida)

Benefits

• Medical, dental, and vision benefits
• 11 paid holidays
• Paid sick time
• Paid parental leave
• 401(k) plan participation
• Life and disability insurance
• Paid wellness time and reimbursements