Manager, Network Contracting

Summary

Join Oscar as a Manager, Network Contracting and lead a team in negotiating and managing contracts with healthcare providers. You will oversee contract execution, analysis, and dispute resolution, ensuring compliance and optimizing contracts to meet financial and accessibility goals. This role requires experience in healthcare network contracting, provider relations, and people management. The position offers a blended work culture with remote options and a competitive salary and benefits package. You will report to the Director, Network Contracting & Services and will be responsible for implementing contracting strategies, managing a team, and ensuring network stability and quality. The ideal candidate will have a strong understanding of provider financial issues and competitor strategies.

Requirements

• 4+ years in healthcare network contracting, including executing contracts with health systems, hospitals or national providers, provider relations, or network management
• 2+ years of experience managing complex Provider Network strategies and negotiating complex contracts
• 2+ years of people management experience
• 2+ years experience in Health Insurance (Individual and/or Medicare Advantage) and/or Healthcare industry

Responsibilities

• Implement contracting strategies under the direction of Network Director and/or Senior Manager and in partnership with Market Leaders that align with the company's overall network adequacy, development and cost management objectives
• Manage and negotiate contracts with assigned healthcare providers, focusing on favorable terms and compliance with organizational standards and regulatory requirements
• Oversee a small team of contracting associates and specialists, facilitating guidance, and mentorship by setting strategic objectives, monitoring team performance, providing training and development opportunities, and fostering a collaborative and innovative work environment
• Conducts comprehensive reviews and analyses of assigned provider contracts, identifying areas for improvement and optimization
• Utilizes data and analytics of provider financial issues and competitor strategies to inform negotiation and contracting decisions and to support the team in doing so
• Key player in implementation of contracting policies and workflows; monitors and ensures effective and efficient contracting processes are in place
• Monitor key metrics for network performance, cost, and provider satisfaction, and provide reports to leadership for assigned accounts
• Ensure you and your team are providing resolution of provider issues related to contract terms, reimbursement, and network participation
• Build relationships with healthcare providers to ensure network stability and quality
• Ability to travel up to 50%
• Compliance with all applicable laws and regulations
• Other duties as assigned

Preferred Qualifications

Bachelor's degree or equivalent professional working experience

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