Senior Director, Network Contracting & Services

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

Oscar is the first health insurance company built around a full stack technology platform and a 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.

About the role

Work Location: 

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.  

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $192,000 - $252,000 per year. The base pay for this role in all other locations is: $172,8000 - $226,800 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program, company equity grants, and annual performance bonuses.

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 

Qualifications

• 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.

Bonus Points

• Strong understanding of healthcare delivery systems, reimbursement models, and managed care principles.

Travel required?

• As needed