Senior Director, Network Contracting & Services

Summary

Join Oscar as a Senior Director, Network Contracting & Services and lead the market provider contracting team. Develop and manage complex provider network strategies, negotiate contracts, and build relationships with healthcare providers. Collaborate with internal and external stakeholders to enhance network performance and ensure high-quality care. This role requires 12+ years of experience in healthcare provider contracting and 7+ years negotiating complex contracts. The position offers a blended work culture with remote options and competitive compensation, including benefits like medical, dental, vision, paid time off, 401(k), life and disability insurance, and bonuses. The role reports to the Vice President of Network Management.

Requirements

• 12+ years of experience in healthcare provider contracting, network development, or related areas
• 7+ years experience negotiating complex contracts with hospitals, physician groups, and other healthcare providers
• 5+ years of leadership or managerial experience in a healthcare setting

Responsibilities

• Develop and implement complex contracting strategies in partnership with multiple 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 complex contract negotiations with hospitals, physicians, ancillary service providers, and other healthcare entities
• Develop and execute standard and complex 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

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
• Company equity grants
• Annual performance bonuses
• Oscar’s unlimited vacation program