Senior Manager, Network Contracting (Central Region)

• 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 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

• 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

• Bachelor's degree or equivalent professional working experience.

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraudhere.

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.