Oscar Health · 2 months ago
Senior Manager, Network Contracting - Southeast Region
United States
Contract
Remote
Mid, Senior Level
$119K/yr - $156K/yr
6+ years expOscar is a health insurance company focused on serving its members through a technology platform. They are seeking a Senior Manager for Network Contracting & Services to lead a team in negotiating and analyzing contracts with healthcare providers while ensuring compliance and enhancing the provider network in the Southeast region.
Health CareHealth InsuranceInsuranceInsurTech
Responsibilities
Help inform and drive Implementation of contracting strategies in partnership with Market Leaders that align with the company's overall network adequacy, development and cost management objectives
Leads contract settlement negotiations, striving to reach mutually beneficial agreements with providers that maintain and enhance the provider network
Manage and negotiate complex contracts, including Value Based Care agreements, with healthcare providers, focusing on favorable terms and compliance with organizational standards and regulatory requirements
Oversee a team of contracting managers, 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 provider contracts, identifying and surfacing areas for improvement and optimization to appropriate stakeholders
Utilizes working knowledge of provider financial issues and competitor strategies to inform negotiation and contracting decisions
Drive Implementation across the contracting team of contracting policies and workflows; ensure effective and efficient contracting processes are in place
Monitor and analyze key metrics for network performance, cost, and provider satisfaction, and provide reports to leadership
Ensure you and your team provide 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
Qualification
Required
6+ years in healthcare network contracting, including executing contracts with health systems, hospitals or national providers, provider relations, or network management
4+ years of experience managing complex Provider Network strategies and negotiating complex contracts
3+ years of leadership experience
3+ years experience in Health Insurance (Individual and/or Medicare Advantage) and/or Healthcare industry
Preferred
Bachelor's degree or equivalent professional working experience
Experience with Value Based Care contracting
Benefits
Medical, dental, and vision benefits
11 paid holidays
Paid sick time
Paid parental leave
401(k) plan participation
Life and disability insurance
Paid wellness time and reimbursements
Company
Oscar Health
Oscar is a health insurance company that offers individual and family plans, medicare advantages, and small group products.
1001-5000 employees
H1B Sponsorship
Oscar Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (19)
2024 (24)
2023 (22)
2022 (36)
2021 (13)
Funding
Current Stage
Public CompanyTotal Funding
$1.99BKey Investors
Tiger Global ManagementAlphabetFounders Fund
2025-09-16Post Ipo Debt· $355M
2021-03-03IPO
2020-12-17Private Equity· $140M
Leadership Team
Mark Bertolini
Chief Executive Officer
Steven B. Kelmar
Executive Vice President & COS
Recent News
2026-01-17
2026-01-16
2026-01-16
Company data provided by crunchbase