Senior Director, Network Contracting & Services

As the Senior Director of Network Contracting & Services at Oscar, your main responsibilities include developing and managing complex provider network strategies, leading contract negotiations with healthcare entities, and maintaining strong relationships with healthcare providers. You will also mentor your team, collaborate across departments to identify network gaps, and ensure compliance with regulations. Overall, it’s about aligning organizational strategies in cost management while ensuring high-quality care for our members.

To qualify for the Senior Director, Network Contracting & Services position at Oscar, candidates should have at least 12 years of experience in healthcare provider contracting or network development, with a minimum of 7 years focused on complex contract negotiations. Additionally, 5 years of leadership experience in a healthcare setting is required. A strong understanding of healthcare delivery systems and reimbursement models will give candidates an edge in this role.

Oscar offers a blended work culture where team members can either work remotely or come to the office, depending on their location. If you're in commuting distance to offices in New York City, Tempe, or Los Angeles, you'll be expected to come in at least two days each week. Otherwise, you can work from home, giving you flexibility while staying connected with your teammates and our mission.

The base salary range for the Senior Director, Network Contracting & Services at Oscar varies by location. In states like California, Connecticut, New Jersey, New York, and Washington, the range is approximately $192,000 to $252,000 per year. In other states, the base pay ranges from $172,800 to $226,800 annually. Additionally, there are various employee benefits and performance bonuses, making this a lucrative opportunity.

As a Senior Director of Network Contracting & Services at Oscar, you can expect a collaborative and supportive team environment. Oscar fosters an inclusive culture where everyone can feel like their true selves. You'll be part of a team that values your insights and contributions as you work together to improve the healthcare experience for our members.

When responding to this question, highlight specific examples of past contract negotiations you’ve led. Discuss the strategies you employed, any challenges faced, and how you navigated them to achieve a successful outcome for your organization. Emphasize your ability to build strong relationships and maintain collaboration with healthcare providers throughout the process.

Your answer should reflect your understanding of both the healthcare landscape and Oscar's specific goals. Talk about data-driven approaches for assessing network performance, collaborating with the Network Monitoring & Performance team, and utilizing provider feedback to fill network gaps while aiming for high-quality care delivery.

Discuss your leadership style and the importance of clear communication, setting measurable goals, and providing constructive feedback. Give an example of how you have effectively mentored a team member or led a team through a challenging project, showcasing the impact on both individual and team performance.

Be prepared to discuss a specific scenario where you encountered a problem with a healthcare provider, including the steps you took to resolve it. Highlight your negotiation skills, problem-solving abilities, and how you maintained a strong working relationship despite challenges.

Show your knowledge of federal, state, and local regulations that govern healthcare provider agreements. Talk about your experience ensuring compliance through reviewing contract terms, and procedures, and collaborating with legal teams to mitigate risks associated with contracting violations.

Discuss how you analyze the financial implications of provider agreements, emphasizing cost management strategies such as value-based care models or risk-sharing agreements. Provide examples of how you’ve structured agreements to improve both cost control and care quality.

Your response should address key performance indicators (KPIs) relevant to network quality, such as patient satisfaction scores, access to care metrics, and financial performance indicators. Explain how you use these metrics to make data-informed decisions for network improvements and provider evaluations.

Highlight your mediation and negotiation skills in addressing conflicts. Explain the importance of listening to all parties involved and finding a mutually beneficial solution. Illustrate this with a specific example or outcome that demonstrates your ability to navigate through difficult crossroads effectively.

Discuss your passion for improving healthcare and how your personal values align with Oscar’s mission. Share any experiences, whether professional or personal, that inspired you to pursue a career in healthcare and your desire to contribute to meaningful changes within the industry.

Address your proactive approach to continuous learning, such as subscribing to healthcare industry journals, participating in relevant seminars or webinars, and networking with industry professionals. This demonstrates your commitment to staying current and knowledgeable, which is crucial for the Senior Director, Network Contracting & Services role at Oscar.