Senior Network Contracting Specialist

Oscar

Senior Specialist negotiating and managing contracts with healthcare providers for Oscar, a tech-driven health insurance company. Ensuring quality care access and optimizing costs through performance analysis.

Posted 7/23/2026full-timeRemote • Arizona, Florida, Illinois, Iowa, Kansas, Mississippi, Missouri, Montana, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia • 🇺🇸 United StatesSenior💰 $71,539 - $93,895 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in provider network operations and contracting, with a strong focus on compliance, data analysis, and relationship management. Proficient in optimizing workflows and enhancing provider satisfaction through effective communication and collaboration.

Highest-signal resume keywords

Provider Network OperationsContract NegotiationData AnalysisHealthcare ComplianceKey Performance Indicators (KPIs)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

ContractingData AnalysisProvider ServicesHealthcare Industry KnowledgePerformance Monitoring

Soft Skills

Relationship ManagementProblem ResolutionCollaborationCommunication

Certifications & Qualifications

Associate's Degree

Industry Keywords

Health InsuranceMedicare AdvantageProvider SatisfactionOperational EfficiencyProcess Improvement

About the role

Key responsibilities & impact

Support and direct involvement with negotiating contracts with assigned healthcare providers, focusing on favorable terms and compliance with organizational standards, strategy, and regulatory requirements.
Conduct 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 (DO NOT REMOVE - REQUIRED)
Other duties as assigned (DO NOT REMOVE - REQUIRED)

Requirements

What you’ll need

2+ years of experience in provider network operations or contracting or provider services
1+ years of experience in Health Insurance (Individual and/or Medicare Advantage) and/or Healthcare industry
1+ years experience navigating and organizing large data sets such as claim files and provider rosters
Associate’s degree or equivalent professional working experience.

Benefits

Comp & perks

Health insurance
Unlimited vacation program
Annual performance bonuses