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Associate Director, National Provider Contracting

As Oscar Health continues to expand to new markets across the country, an essential component is negotiating high-quality contracts with national delegated providers and vendors.

In this role, you will lead negotiations with Oscar's most critical, national delegated providers and vendors (e.g. vendors including labs, behavioral health, durable medical equipment). You will collaborate with our division's leaders and other internal stakeholders to understand and represent Oscar's operational, financial, and member experience goals as well as regulatory requirements. You will be project managing a large, national deal funnel across multiple markets and ultimately owning negotiations with key delegated providers and vendors. You will ultimately also manage a team of high-caliber associates supporting this work.


In your first 6 weeks you will:

* Become well-acquainted with Oscar's internal operations and technology-driven approach to curating strong, high-quality networks for our members.
* Gain an in-depth understanding of the rate structures, economics, and core contractual provisions of Oscar's delegated provider and vendor partnerships.
* Form strong working relationships with internal stakeholders across the company and understand the impact of our contractual terms on their workstreams.
* Become an essential part of the drafting, negotiation, and initial operationalization of critical delegated provider and vendor deals.

Moving forward, your primary responsibilities will be to:

* Independently lead, own, and refine our process for contractual negotiations (including legal language and rates) with new and existing delegated providers and vendors from end to end, including maintaining a consistent standard for these negotiations.
* Own the full lifecycle of a portfolio of deals (i.e. from strategy development to template generation to negotiation to account management handoffs).
* Operate, refine and manage a recruiting/sales funnel of national delegated providers and vendors.
* Collaborate with deal owners, account managers, and other Oscar teams and stakeholders.
* Build robust and iterative processes that improve the outcomes of Oscar's delegated provider and vendor contracting efforts, focusing on clear metrics and reporting.
* Incubate and develop a strong and growing deal team, improving their negotiating abilities and deepening their level of understanding of the subject matter.

About You:

The ideal candidate will have relevant experience in sales, deal negotiation, and/or healthcare, as well as a deep background in a client-facing, leadership role. Other key components for success include:

* 8 - 10 years of work experience in healthcare partnerships, revenue cycle management, contracting, or business development.
* A strong analytical background and the ability to quickly digest and evaluate complex legal contracts, including rate structures, economics, and other quantitative aspects of negotiations
* Experience working with healthcare systems, payers, vendors, and/or provider groups.
* Outstanding structured and critical thinking, and keen attention to detail
* Excellent communication, organization, and project management skills
* Strong interpersonal skills and experience with intricate negotiations
* The flexibility to work both with and without structure
* Demonstrated comfort in collaborating with executive stakeholders

A plus...

* JD, MBA, MPH, or other professional degree from a top program with a clear track record of excellence.
* Experience working for early-stage enterprises (e.g., building a company or launching a new functional area).
* Background in process building and operational improvement.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we work to cultivate an environment where exceptional people can be their most authentic selves and find both belonging and support. We're on a mission to change healthcare -- an experience made whole by your unique background and perspectives.

Associated topics: attorney corporate, business, company, compliance, counsel, court, internal, legal department, llp, market

* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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