Associate, National Provider Contracting

What you'd do

• Support the development and execution of national contracting strategies for large ancillary providers and/or health systems, aligned with network adequacy, access, quality, and cost-management objectives.
• Manage an assigned portfolio across the full contracting lifecycle, including prospecting, evaluation, negotiation, implementation, performance management, renewal, and termination.
• Prepare for and negotiate complex provider agreements, including reimbursement, operational, data-sharing, performance, and compliance terms, within established authority and escalation guidelines.
• Coordinate contract implementation with Legal, Finance, Provider Operations, Claims, Credentialing, Configuration, Compliance, and Market teams to ensure accurate and timely operational readiness.
• Build and maintain productive relationships with provider contracting and operational leaders; lead routine business reviews, resolve escalated issues, and coordinate corrective action plans.
• Analyze claims, utilization, reimbursement, provider roster, market, and competitive data to develop negotiation positions, quantify financial impact, and identify performance improvement opportunities.
• Monitor assigned networks and provider performance for access, adequacy, quality, cost, and contractual compliance; escalate risks and support remediation with Network and Market leadership.
• Maintain accurate contracting pipeline, status, documentation, and provider data; meet defined service-level agreements and performance metrics for outreach, negotiations, and contract completion.
• Compliance with all applicable laws and regulations
• Other duties as assigned

What they want

• 3+ years of experience in provider contracting, provider network management, healthcare consulting, healthcare operations, or a related field.
• 2+ years of experience supporting provider network strategy and negotiating provider agreements.
• Demonstrated experience managing complex, multi-stakeholder contracting work from analysis and negotiation through implementation and ongoing performance management.
• Experience building effective relationships with provider contracting and operational leaders and communicating recommendations to internal stakeholders.
• 1+ years of experience performing financial analysis for healthcare markets, provider contracts, or product lines and translating findings into negotiation or improvement opportunities.
• 1+ years of experience working with large data sets, such as claims, utilization, fee schedules, contract inventories, and provider rosters.

About Oscar Health · Provider Network

The Associate, National Contracting manages an assigned portfolio of large national ancillary providers and/or multi-state health systems across the contracting lifecycle—from market assessment and recruitment through negotiation, implementation, performance management, renewal, and escalation. Working with Network leadership and cross-functional partners, this role translates network access and affordability goals into executable contract strategies; uses financial, claims, and provider data to…