About this role
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Hi, we're Oscar. We're hiring a VP, Network Management to join our Network 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 Vice President of Network Management is responsible for the contracting strategy, development, and management of a high-performing provider network for a defined geographic area within Oscar's footprint. This role oversees the strategic planning and execution of contracts that ensure a robust, cost-effective, and comprehensive provider network that meets the needs of our members, including provider account management & service. This leader collaborates with internal and external stakeholders to improve network performance, enhance provider relationships, ensure regulatory compliance, and drive high-quality, cost-effective care delivery.
You will report into the SVP, Network & Provider Management. Work Location: This is a remote position, open to candidates who reside in: Arizona, California, Colorado, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Mexico, Ohio, Oregon, South Dakota, Texas, Utah, Washington or Wisconsin. A hybrid work schedule, with 3 days of in-office work per week, may be required depending on your metro area. #LI-Remote Pay Transparency: The base pay for this role is: $240,120 - $315,157 per year.
You are also eligible for employee
Benefits
, participation in Oscar's unlimited vacation program, company equity grants and annual performance bonuses. Responsibilities: - Lead the execution of short- and long-term strategic plans for provider network growth, alignment, and optimization. - Develop a strategy to enhance network adequacy, access, and member experience across multiple markets. - Oversee execution of provider contracting strategy, including value-based and fee-for-service contracting models, to improve care quality and control costs. - Build and maintain strong relationships with key health system leaders, hospital executives, and other network providers. - Negotiate and manage high-value, complex contracts to support cost containment and quality initiatives. - Monitor and analyze network performance metrics, including cost, utilization, quality, and member satisfaction. - Execute initiatives to enhance provider network performance, drive efficiencies, and improve member access to care. - Ensure that the provider network meets all state, federal, and accreditation standards for access, adequacy, and service. - Stay abreast of regulatory changes and industry best practices to ensure compliance and minimize risk. - Work with compliance and legal teams to address and mitigate risks related to provider contracting and network performance. - Lead, mentor, and develop a high-performing network management team to drive results and support professional growth. - Compliance with all applicable laws and regulations - Other duties as assigned
Requirements
: - 15+ years of progressive experience in network management, provider relations, or health plan operations - 10+ years of leadership experience - 10+ years experience in provider contracting, negotiations, and building provider relationships. - 8+ years managing large provider networks within a health insurance or managed care setting. This is an authentic Oscar Health job opportunity. At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices.
It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience.
Full-time employees are eligible for
Benefits
including: medical, dental, and vision
Benefits
, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their
Qualifications
, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar
Benefits
Team (a***s@***.com) to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy . Apply directly on RemoteJobs.org: https://remotejobs.org/remote-jobs/vp-network-management-texas-central-west-markets-oscar-health
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