Oscar Health · 1 day ago
Senior Manager, Network Contracting & Services - Southeast Region
United States
Full-time
Remote
Mid, Senior Level
$119K/yr - $156K/yr
6+ years expOscar Health is a health insurance company focused on serving its members through a technology platform. The Senior Manager, Network Contracting & Services will lead a team to negotiate and manage contracts with healthcare providers in the Southeast region, ensuring productive partnerships and compliance with organizational goals.
Health CareHealth InsuranceInsuranceInsurTech
Responsibilities
Conducts comprehensive reviews and analyses of provider contracts, identifying and surfacing areas for improvement and optimization to appropriate stakeholders
Oversee a team of provider network managers, including specialists and associates, 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
Leads high-importance claims dispute and/or settlement negotiations, striving to reach mutually beneficial agreements with providers that maintain and enhance the provider network
Manage and negotiate complex contracts with healthcare providers, including Value Based Care agreements, focusing on favorable terms and compliance with organizational standards and regulatory requirements
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
Provider management experience with healthcare systems/hospitals at managed care company
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
Investor's Business Daily
2025-12-18
Investor's Business Daily
2025-12-13
Company data provided by crunchbase