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Director Provider Contracting Jobs (NOW HIRING)

Oscar Health

Director, Provider Operations

New York, NY · Hybrid

$163K - $215K/yr

The Director, Provider Operations builds, scales and optimizes Oscar's provider data management, contracting, and credentialing processes. This role is responsible for setting the vision and strategy ...

CareCentrix

Direct end-to-end provider network development, including contracting strategy, negotiation execution, reimbursement methodologies, and ongoing performance management * Establish and implement ...

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Director Provider Contracting information

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$39K

$100.9K

$173.5K

How much do director provider contracting jobs pay per year?

As of Jul 6, 2026, the average yearly pay for director provider contracting in the United States is $100,880.00, according to ZipRecruiter salary data. Most workers in this role earn between $70,000.00 and $131,500.00 per year, depending on experience, location, and employer.

What does a Director of Provider Contracting do?

A Director of Provider Contracting is responsible for negotiating and managing contracts between healthcare providers (such as hospitals, physicians, and clinics) and insurance companies or health plans. They ensure that agreements meet regulatory requirements, align with company goals, and provide high-quality, cost-effective care for members. Their role includes analyzing provider performance, maintaining strong relationships with providers, and collaborating with internal teams to optimize network performance. The Director often leads a team and plays a key role in strategic planning and financial management related to provider networks.

What is the difference between Director Provider Contracting vs Contract Manager?

AspectDirector Provider ContractingContract Manager
CredentialsTypically requires a bachelor’s degree in healthcare administration, business, or related field; often with experience in healthcare contractingUsually requires a bachelor’s degree in business, management, or related field; certifications like CPM or CPCM are common
Work EnvironmentHealthcare organizations, insurance companies, or managed care organizationsVarious industries including healthcare, manufacturing, and corporate sectors
Primary FocusNegotiating and managing provider contracts, ensuring compliance, and optimizing provider networksDrafting, analyzing, and managing contractual agreements across departments or projects

The main difference is that the Director Provider Contracting focuses specifically on healthcare provider agreements and network management, while the Contract Manager handles a broader range of contracts across different industries. Both roles require strong negotiation skills and contract knowledge, but the Director Provider Contracting is specialized in healthcare settings.

How does a Director of Provider Contracting typically collaborate with other departments within a healthcare organization?

A Director of Provider Contracting frequently works cross-functionally with departments such as network management, legal, finance, and clinical operations. This collaboration ensures that contracts align with organizational goals, comply with regulations, and support cost-effective, high-quality care delivery. Regular meetings and joint projects are common, and effective communication is key to balancing provider relationships with business objectives. Being proactive in building strong internal partnerships can greatly enhance contract negotiation outcomes and streamline implementation.

What are the key skills and qualifications needed to thrive as a Director Provider Contracting, and why are they important?

To thrive as a Director Provider Contracting, you need strong expertise in healthcare contracting, negotiation, and provider relations, usually supported by a bachelor’s or master’s degree in business, healthcare administration, or a related field. Familiarity with contract management systems, healthcare reimbursement models, and regulatory compliance tools is typically required. Exceptional communication, analytical thinking, and leadership skills set top performers apart in this role. These abilities are crucial for building effective provider networks, ensuring regulatory compliance, and achieving organizational goals in a competitive healthcare environment.
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Director Provider Contracting jobs near you
Director, Provider Operations

Director, Provider Operations

Oscar Health

New York, NY • Hybrid

$163K - $215K/yr

Other

PTO

Posted 14 days ago

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

237th of 277 rated insurance

Job description

Hi, we're Oscar. We're hiring a Director to join our Provider Operations team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family.

About the role:

The Director, Provider Operations builds, scales and optimizes Oscar's provider data management, contracting, and credentialing processes. This role is responsible for setting the vision and strategy for provider operations and data functions, and designing processes that improve Oscar's capabilities in serving members and providers. The role does this by working with partners and stakeholders cross-functionally to take ideas from vision to implementation.

You will report into the Vice President, Network Operations.

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. #LI-Hybrid

Pay Transparency: The base pay for this role is: $163,944 - $215,176 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants and annual performance bonuses.

Responsibilities:

Strategic Leadership & Team Development
  • Provide strategic leadership and operational oversight for the end-to-end provider data lifecycle, ensuring the precise and timely execution of provider credentialing, contract loading, and daily data management.
  • Lead, coach, and develop a high-performing, multi-tiered team of managers and individual contributors; foster a culture of continuous learning, accountability, and psychological safety.
  • Establish clear organizational structure, governance, and support systems that shield the team from distractions and empower them to execute key strategic initiatives.
  • Act as a trusted, collaborative partner to Product, Tech, Markets, and Clinical Operations to design, build, and deliver next-generation provider operations capabilities that support aggressive company growth and market expansion targets.
Operational Excellence & Scalability
  • Architect and implement foundational, industry-standard processes and data models that allow the provider data and contracting infrastructure to scale seamlessly alongside the business.
  • Champion the adoption of industry best practices to ensure all operational processes and internal tools are highly extensible, efficient, and integrated with modern technology stacks.
  • Lead the team in surface-level and deep-dive diagnostics to identify data, process, and technology bottlenecks. Establish robust KPIs and monitoring dashboards to proactively flag operational issues, leveraging these insights to maintain our standing as a leading health plan.
Efficiency, Automation & Compliance
  • Identify and execute opportunities for automation (e.g., RPA, AI integrations) across mature, stable workflows to replace manual intervention, reduce turnaround times, and eliminate human error.
  • Drive administrative expense savings and optimize total cost of care by identifying and executing on process improvements, technical tooling investments, offshore resource optimization, and strategic vendor partnerships.
  • Guarantee 100% compliance with all applicable state and federal laws, regulatory mandates (e.g., No Surprises Act, CMS requirements), and accreditation standards (NCQA).
  • Adapt to evolving business needs by leading critical ad-hoc initiatives and specialized projects as assigned.

Requirements:

  • A bachelor's degree or 5+ years of operating experience
  • 10+ years of work in operations, health insurance, data analysis and/or consulting
  • 5+ years of experience building, coaching and developing operational teams
  • 5+ years experience with network operations, provider data management and contracting processes
  • 5+ years prior successful experience developing and managing large scale initiatives coordinating with internal and external stakeholders
  • 5+ years of experience designing and improving business process for optimization as well as standing up accompanying operating and technical procedures
  • 5+ years of experience using data to influence business decisions
  • 5+ years of experience program management

Bonus points:

  • Proven history of managing high-impact initiatives and pitching complex business cases to secure alignment from executive leadership.
  • Proficiency in SQL, Lean Six Sigma, or other process improvement methodologies
  • Deep understanding of data architecture and optimizing data management workflows
  • Direct experience operating within service-oriented organizational structures
  • Comprehensive knowledge of NCQA credentialing, CMS standards, and the No Surprises Act.
  • Prior success in deploying or refining enterprise-level MDM or Provider Data Management systems.
  • Demonstrated ability to apply AI, RPA, or data analytics to improve roster accuracy and processing speed.
  • Background in leading distributed teams and overseeing external BPO or vendor partnerships.

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