Oscar Health · 12 hours ago

Senior Director, Network Contracting & Services

United States

Contract

Remote

Senior Level, Lead/Staff, Director/Executive

$192K/yr - $252K/yr

12+ years exp

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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

Qualification

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Healthcare provider contractingContract negotiationLeadership experienceNetwork developmentHealthcare delivery systemsReimbursement modelsManaged care principles