Manager, Network Contracting (Northeast Region)

Posted One Month Ago
Be an Early Applicant
Hiring Remotely in New York, NY, USA
In-Office or Remote
101K-147K Annually
Mid level
Healthtech • Insurance
Give people power over their healthcare.
The Role
Leads a team responsible for negotiating, executing, analyzing, and optimizing healthcare provider contracts across a defined region. Oversees complex negotiations with hospitals, health systems, and national providers; resolves disputes; ensures regulatory compliance; monitors network performance, cost, and provider satisfaction; and supports network adequacy and growth objectives. The role also provides people leadership, develops contracting strategies, analyzes provider financial data, improves workflows, and maintains strong provider relationships.
Summary Generated by Built In

Hi We're Oscar. We're hiring a Manager to join our Network Contracting Team.

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.

About the role:

The Manager of Network Contracting is responsible for leading a team of direct reports focused on negotiating, executing, and analyzing contracts with large, national and/or complex healthcare group/system providers, focusing on maintaining and enhancing the provider network while meeting accessibility, quality, and financial goals. The Manager, Network Contracting handles dispute resolution and settlement negotiations, ensuring compliance with company standards and regulatory requirements. This role leverages negotiation skills and working knowledge of provider financial issues to optimize contracts, and collaborates with providers, hospitals and health systems to achieve successful contracting outcomes, all while supporting cost-saving initiatives and the growth of the provider network for a defined market or region.

You will report into the Director, Network Contracting & Services.

Work Location: This is a remote position based in the field, open to candidates who reside in New Jersey, New York, Pennsylvania or Virginia. 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

Pay Transparency: The base pay for this role in New Jersey and New York is: $111,780 - $146,711. The base pay for this role in all other locations is $100,602 - $132,040 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • Implement contracting strategies under the direction of Network Director and/or Senior Manager and in partnership with Market Leaders that align with the company’s overall network adequacy, development and cost management objectives.
  • Manage and negotiate contracts with assigned healthcare providers, focusing on favorable terms and compliance with organizational standards and regulatory requirements.
  • Oversee a small team of contracting associates and specialists, facilitating leadership, guidance, and mentorship by setting strategic objectives, monitoring team performance, providing training and development opportunities, and fostering a collaborative and innovative work environment.
  • Conducts comprehensive reviews and analyses of assigned provider contracts, identifying areas for improvement and optimization.
  • Utilizes data and analytics of provider financial issues and competitor strategies to inform negotiation and contracting decisions and to support the team in doing so.
  • Key player in implementation of contracting policies and workflows; monitors and ensures effective and efficient contracting processes are in place.
  • Monitor key metrics for network performance, cost, and provider satisfaction, and provide reports to leadership for assigned accounts.
  • Ensure you and your team are providing timely resolution of provider issues related to contract terms, reimbursement, and network participation.
  • Build and maintain positive relationships with healthcare providers to ensure network stability and quality.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • 4+ years in healthcare network contracting, including executing contracts with health systems, hospitals or national providers,  provider relations, or network management
  • 2+ years of experience managing complex Provider Network strategies and negotiating complex contracts
  • 2+ years of people management experience
  • 2+ years experience in Health Insurance (Individual and/or Medicare Advantage) and/or Healthcare industry

Bonus points:

  • Bachelor's degree or equivalent professional working experience

This is an authentic Oscar Health job 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.

Pay Transparency:  Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team ([email protected]) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy.

Skills Required

  • 4+ years of experience in healthcare network contracting, including contracts with health systems, hospitals, or national providers; provider relations; or network management
  • 2+ years of experience managing complex provider network strategies and negotiating complex contracts
  • 2+ years of people management experience
  • 2+ years of experience in health insurance, including Individual and/or Medicare Advantage, and/or the healthcare industry
  • Bachelor's degree or equivalent professional work experience

Oscar Health Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Oscar Health and has not been reviewed or approved by Oscar Health.

  • Healthcare Strength — Employer-sponsored medical coverage for employees and their families with mental-health support is prominently offered. Wellness programming and digital care access add to perceived strength.
  • Parental & Family Support — Paid parental leave of 10+ weeks, backup care, and family-forming support (including fertility and adoption benefits) are part of the package. Reproductive‑loss leave is also noted.
  • Leave & Time Off Breadth — Multiple time‑off options, wellness days, and an unlimited vacation program for some roles are described. Paid holidays, paid sick time, and a long‑tenure sabbatical broaden time‑away choices.

Oscar Health Insights

Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
HQ: New York, NY
2,400 Employees
Year Founded: 2012

What We Do

Oscar Health, Inc. (NYSE: OSCR) is a leading consumer health company that gives people power over their healthcare. Oscar Health serves millions of consumers, employers, brokers, and partners through Oscar Insurance, Lucie Health Marketplace, and Trove Group. Together these businesses deliver exceptional lifestyle products and technology platforms that make healthcare easy to choose, use, and experience.

Similar Jobs

In-Office or Remote
New York, NY, USA
2200 Employees
101K-147K Annually

Apryse Logo Apryse

Accounting Manager

Productivity • Software • App development • Automation
Remote
USA
665 Employees
90K-125K Annually

Boomi Logo Boomi

Enterprise Account Executive

Cloud • Information Technology • Productivity • Software • Automation
Remote
United States of America
2200 Employees
258K-350K Annually

Superhuman Logo Superhuman

SEO & AEO Manager

Artificial Intelligence • Information Technology • Machine Learning • Natural Language Processing • Productivity • Software • Generative AI
Remote or Hybrid
United States
1500 Employees
129K-170K Annually

Similar Companies Hiring

OneImaging Thumbnail
Healthtech
Miami, FL
62 Employees
Vitalize Thumbnail
Artificial Intelligence • Healthtech • Software
US
50 Employees
Vega Thumbnail
Artificial Intelligence • Automotive • Insurance • Transportation
US
43 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account