Executive VP, Provider Experience & Operations

Oscar Health, Inc.; New York (NY); Híbrido; USD 240 000 - 315 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Unlimited vacation

Equity grants

Annual performance bonuses

Benefits package

Resumo da oferta

Oscar Health, Inc. is seeking a Vice President of Provider Integration & Experience to lead the provider journey and drive a friction-free experience across Claims, Network, Utilization Management, and Technology.

The role reports to the SVP of Provider Operations & Experience and requires a strong track record in healthcare operations leadership. The position is based in New York with a hybrid work model: three days in-office weekly, including one dedicated Thursday for team meetings and

Qualificações

• A bachelor's degree or commensurate 4 years of experience.
• 15+ years of professional experience in healthcare operations, payer operations, network operations, strategic planning, healthcare consulting, or provider relations.
• 7+ years of experience collaborating, influencing, and driving strategic alignment at the executive level (SVP, EVP, and C-Suite).
• 7+ years of direct senior leadership experience, managing multi-team functions, managers, and directors.
• Deep technical understanding of payer operations, including claims administration, provider data, reimbursement methodologies, utilization management, payment integrity, and provider relations workflows.

Responsabilidades

• Act as the primary internal and external voice and champion for the provider experience.
• Shape the overarching Oscar Provider Experience strategy, creating a long-term vision to be an easy and dependable partner to providers.
• Develop deep, analytical frameworks and measures to assess the health of the provider experience and evaluate its overall impact on Oscar’s broader network.
• Maintain deep healthcare market and competitor intelligence, keeping a pulse on regulatory changes, vendor innovations, and emerging operational models.
• Build and scale the operating model for escalated provider issues, establishing standardized intake criteria, triage pathways, and closure expectations.
• Oversee the swift resolution of urgent, high-complexity, or high-profile provider escalations that span multiple cross-functional departments.
• Foster strong strategic relationships with SMEs and senior functional leaders across Claims, Network, Utilization Management, Payment Integrity, and Technology to streamline operational handoffs and secure resources for systemic fixes.
• Drive organizational change management, ensuring successful cross-functional adoption of new operational models, workflow metrics, and provider-centric behaviors.
• Leverage robust operational data, analytics, and ROI assessments to identify systemic root causes of provider friction and prioritize technical or operational resolutions.
• Establish tracking mechanisms to guarantee that once a root cause is identified, systemic fixes are fully implemented and verified across strategic accounts.
• Create and deliver executive-ready reporting, interactive dashboards, and strategic recommendations to senior leadership and board members regarding operational health, system trends, and critical blockers.
• Empower and mentor a senior-level team, aligning their personal growth with the delivery of high-impact organizational outcomes.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Descrição da oferta de emprego

Oscar Health, Inc. is seeking a Vice President of Provider Integration & Experience to lead the provider journey and drive a friction-free experience across Claims, Network, Utilization Management, and Technology.

The role reports to the SVP of Provider Operations & Experience and requires a strong track record in healthcare operations leadership. The position is based in New York with a hybrid work model: three days in-office weekly, including one dedicated Thursday for team meetings and