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About the Role
The Health System Contracting Associate helps develop and execute Oscar's network strategy by evaluating, negotiating, and managing partnerships with hospitals and health systems. You will combine financial analysis, strategic problem-solving, and relationship management to improve affordability, network access, and the member experience. You will analyze provider performance, financial information, and market dynamics, develop negotiation strategies, support complex contract negotiations, and translate findings into clear recommendations for senior leaders. You will also partner across Network, Finance, Legal, Provider Operations, and other teams to implement agreements, resolve provider issues, and identify opportunities to strengthen Oscar's networks. You will report into the Manager, Network Contracting.
Responsibilities
- Support the development and execution of market-level contracting strategies that advance Oscar's network adequacy, growth, affordability, and member-experience objectives.
- Analyze and evaluate provider economics, reimbursement arrangements, utilization, competitive dynamics, and contract performance.
- Translate complex financial and operational analyses into clear recommendations for negotiation strategy and contracting decisions.
- Prepare for and participate in negotiations with hospitals and health systems, including developing reimbursement rate models, contract positions, presentation materials, and scenario analyses.
- Negotiate and manage contracts with assigned healthcare providers, with guidance from senior team members, focusing on sustainable economics, clear terms, and compliance with organizational and regulatory requirements.
- Conduct comprehensive reviews of existing provider agreements to identify financial, operational, and contractual improvement opportunities.
- Manage cross-functional contracting workstreams from initial analysis through negotiation, execution, and implementation, proactively identifying risks and driving issues to resolution.
- Support improvements to contracting tools, policies, workflows, and performance reporting.
- Monitor assigned networks to gauge compliance with standards, developing corrective action plans with network contracting and market leadership to remediate deficiencies.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements
- 3+ years of experience in healthcare client management, healthcare consulting, strategy and operations, healthcare contracting, healthcare finance, payer or provider operations, or a related analytical field.
- 2+ years of experience supporting analytical or strategic workstreams and developing recommendations for senior stakeholders.
- 1+ years experience analyzing complex financial or operational data and translating findings into actionable business recommendations.
- 1+ years experience navigating and organizing large data sets such as hospital price transparency reimbursement, claim files and provider rosters
- Experience supporting negotiations, commercial agreements, strategic partnerships, or other complex, cross-functional initiatives.
- Experience in healthcare, health insurance, hospital or health-system strategy, provider contracting, or reimbursement.
- Experience communicating with senior internal and external stakeholders
- Advanced proficiency in Excel or Google Sheets; experience with SQL or other analytical tools
- Associate’s degree or equivalent professional working experience.
Skills
- Excel
- Google Sheets
- SQL
Location
- Georgia
- North Carolina
- South Carolina
Work Type
- Remote
- Field
- Local travel
- Occasional travel
Experience Level
- 3+ years
- 2+ years
- 1+ years
Education Level
- Associate’s degree or equivalent professional working experience
Salary/Compensations
- $87,188- $114,434 per year
Benefits
- Medical benefits
- Dental benefits
- Vision benefits
- 11 paid holidays
- Paid sick time
- Paid parental leave
- 401(k) plan participation
- Life insurance
- Disability insurance
- Paid wellness time and reimbursements
- Unlimited vacation program
- Annual performance bonuses
About the Company
- Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.
Equal Opportunity
- At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.