Oscar Health · 8 hours ago
Senior Network Specialist, Southeast Region
United States
Full-time
Remote
Mid, Senior Level
$69K/yr - $91K/yr
2+ years expOscar Health is a health insurance company focused on serving its members through a technology platform. The Senior Network Specialist will negotiate and manage contracts with healthcare providers, ensuring access to quality care while optimizing costs and provider performance.
Health CareHealth InsuranceInsuranceInsurTech
Responsibilities
Support and direct involvement with negotiating contracts with assigned healthcare providers, focusing on favorable terms and compliance with organizational standards, strategy, and regulatory requirements
Conducts comprehensive reviews and analyses of assigned provider contracts, identifying areas for improvement and optimization
With support from your leader, utilizes data and analytics of provider financial issues and competitor strategies to inform negotiation and contracting decisions
Supports implementation of contracting policies and workflows; monitors and ensures effective and efficient contracting processes are in place
With input and support from their leader, monitor and analyze key metrics for network performance, cost, and provider satisfaction, and provide reports to leadership for assigned provider accounts
Ensure timely and professional resolution of provider issues Build and maintain positive relationships with healthcare providers to ensure network stability and quality
Assist in tracking and analyzing key performance indicators (KPIs) to monitor provider satisfaction and operational efficiency
Support provider onboarding, training, and resource distribution
Collaborate with internal teams such as Claims, Credentialing, and Contracting to resolve routine provider issues
Participate in process improvement initiatives to optimize workflows and enhance provider experience
Compliance with all applicable laws and regulations
Other duties as assigned
Qualification
Required
2+ years of experience in provider network operations, contracting or provider services
1+ years of experience in Health Insurance (Individual and/or Medicare Advantage) and/or Healthcare industry
1+ years of experience navigating and organizing large data sets such as claim files and provider rosters
Preferred
Associate's degree or equivalent professional working experience
Benefits
Employee benefits
Participation in Oscar's unlimited vacation program
Annual performance bonuses
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