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Role Description

Hi, we're Oscar. We're hiring a Manager, Network Contracting & Services to join our Northeast Network team.

You will be responsible for leading a team of direct and indirect reports focused on:

• Negotiating, executing, and analyzing contracts with large, national and/or complex healthcare group/system providers.
• Maintaining and enhancing the provider network while meeting accessibility, quality, and financial goals.
• Handling dispute resolution and settlement negotiations, ensuring compliance with company standards and regulatory requirements.
• Leveraging extensive negotiation skills and working knowledge of provider financial issues to optimize contracts.
• Collaborating with providers, hospitals, and health systems to achieve successful contracting outcomes.
• Supporting cost-saving initiatives and the growth of the provider network for a defined market or region.

You will report into the Director, Northeast Network.

Work Location: This is a remote position based in the field, open to candidates who reside in: Ohio, Michigan, or Pennsylvania. Your daily work will involve a blend of work from your home office and frequent local travel for client meetings. Occasional travel may be required for team meetings and company events. #LI-Remote

Travel Expectation: 15%

Pay Transparency: The base pay for this role is: $100,060 - $132,040 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.

Responsibilities

• Help inform and drive implementation of contracting strategies in partnership with Market Leaders.
• Lead contract settlement negotiations, striving to reach mutually beneficial agreements with providers.
• Manage and negotiate complex contracts with healthcare providers, focusing on favorable terms and compliance.
• Work cross-functionally with a team of contracting managers, associates, and specialists.
• Conduct comprehensive reviews and analyses of provider contracts, identifying areas for improvement.
• Utilize working knowledge of provider financial issues and competitor strategies to inform decisions.
• Drive implementation of contracting policies and workflows; ensure effective contracting processes are in place.
• Monitor and analyze key metrics for network performance, cost, and provider satisfaction.
• Ensure timely resolution of provider issues related to contract terms, reimbursement, and network participation.
• Build and maintain positive relationships with healthcare providers.
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

Qualifications

• 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 experience in Health Insurance (Individual and/or ACA Market Place) and/or Healthcare industry.

Bonus Points

• Bachelor's degree or equivalent professional working experience.
• 3+ years of leadership 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.