Senior Director, Network Contracting
About the role
The Senior Director of Network Contracting is responsible for developing and managing complex provider network strategies, negotiating complex contracts, and fostering strong relationships with healthcare providers, facilities, and ancillary organizations. This role leads the market provider contracting team and collaborates with key internal and external stakeholders to enhance network performance, manage costs, and ensure high-quality care delivery. You will report into the Vice President, Network Management.
Work location
This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule.
Pay
The base pay for this role is $198,720 – $260,820 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program, company equity grants, and annual performance bonuses.
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.
- Source and identify out-of-network provider targets that align with Oscar’s overall market strategy, when necessary.
- 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.
- Comply with all applicable laws and regulations.
- Other duties as assigned.
Requirements
- 12+ years of experience in healthcare provider contracting, network development, or related areas.
- 7+ years of experience negotiating complex contracts with hospitals, physician groups, and other healthcare providers.
- 5+ years of leadership or managerial experience in a healthcare setting.
Bonus points
- Strong understanding of healthcare delivery systems, reimbursement models, and managed care principles.
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