Head of Provider Network Development (Senior Director)

Oscar Health; New York (NY); Hybride; USD 199 000 - 261 000; Plein temps

Avantages offerts par ce poste

Hybrid work schedule

Equity grants

Annual performance bonuses

Unlimited vacation program

Medical, dental, and vision benefits

Résumé du poste

Oscar Health is seeking a Head of Provider Network Development in New York to lead strategic provider sourcing and expand the payer network. You will drive recruitment of non-anchor providers, ECPs, and FQHCs, while ensuring network adequacy and improving patient access.

You will report to the Senior Vice President, Network & Provider Management and collaborate with contracting, strategy, and market leadership to align growth plans with regulatory needs.

Qualifications

• Bachelor's degree in Healthcare Administration, Business Administration, Public Health, or related field.
• 12+ years of experience in healthcare industry.
• 5+ years of progressive leadership in provider network development, network operations, or provider recruitment within a health plan, MSO, or health system.
• Experience engaging and contracting with community health centers, FQHCs, and independent provider groups.
• Demonstrated understanding of CMS and state-level network adequacy requirements and access-to-care standards.
• Experience managing multi-departmental workflows across contracting, legal, operations, and market leadership teams.
• Experience using network management platforms (e.g., Quest Analytics) and CRM tools to drive recruitment strategy.

Responsabilités

• Architect and complete targeted network expansion strategies, leading end-to-end recruitment plans for non-anchor practitioners, medical groups, and ECPs/FQHCs to meet geographic growth and access goals.
• Monitor regional provider density and access metrics to prioritize and close any gaps to exceed state, federal (CMS) and product-level adequacy and accessibility standards.
• Partner with Network Contracting, Network Strategy, and Market Leadership to align provider recruitment targets with regulatory needs and broader commercial, ACA, or Medicare growth plans.
• Track and lead recruitment pipeline velocity and team productivity.
• Use network design analytics to monitor recruitment pipeline throughput, and address regulatory coverage gaps to improve the Provider Network.
• Build, mentor, and lead a high-performing team of network development professionals, sometimes including both employees and contractors, promoting a culture of accountability, operational thoughtfulness, and continuous improvement.

Connaissances

Leadership

Strategic planning

CMS knowledge

CRM tools

Contracting coordination

Formation

Bachelor's degree in Healthcare Administration, Business Administration, Public Health, or related field

Outils

Quest Analytics

CRM tools

Description du poste

Hi, we're Oscar. We're hiring a Head of Provider Network Development to join our Provider 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:

As the Head of Provider Network Development, you will lead strategic provider sourcing. This effort will expand and improve the payer network, specifically driving the recruitment of non-anchor providers, Essential Community Providers (ECPs), and Federally Qualified Health Centers (FQHCs). You will directly support network adequacy standards, improves patient access, and improve overall network performance. This team also manages incoming provider participation requests and collaborates with Network Contracting, Network Strategy, and Market Leadership to build a compliant network that enables profitable member growth.

You will report into the Senior Vice President, Network & Provider Management

Work Location:

This position is based in our New York 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: $198,720 - $260,820 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants and annual performance bonuses.

Responsibilities:

• Architect and complete targeted network expansion strategies, leading end-to-end recruitment plans for non-anchor practitioners, medical groups, and ECPs/FQHCs to meet geographic growth and access goals.
• Monitor regional provider density and access metrics to prioritize and close any gaps to exceed state, federal (CMS) and product-level adequacy and accessibility standards.
• Partner with Network Contracting, Network Strategy, and Market Leadership to align provider recruitment targets with regulatory needs and broader commercial, ACA, or Medicare growth plans.
• Track and lead recruitment pipeline velocity and team productivity.
• Use network design analytics to monitor recruitment pipeline throughput, and address regulatory coverage gaps to improve the Provider Network.
• Build, mentor, and lead a high-performing team of network development professionals, sometimes including both employees and contractors, promoting a culture of accountability, operational thoughtfulness, and continuous improvement.

Requirements:

• Bachelor's degree in Healthcare Administration, Business Administration, Public Health, or a related field
• 12+ years of experience in healthcare industry
• 5+ years of progressive leadership experience in provider network development, network operations, or provider recruitment within a health plan, MSO, or health system.
• Experience engaging and contracting with community health centers, FQHCs, and independent provider groups.
• Demonstrated understanding of CMS and state-level network adequacy requirements and access-to-care standards.
• Experience managing multi-departmental workflows across contracting, legal, operations, and market leadership teams.
• Experience using network management platforms (e.g., Quest Analytics) and CRM tools to drive recruitment strategy.

Bonus points:

• Master's degree (Master of Health Administration, Master of Public Health, or Master of Business Administration)

Travel required?

• Yes up to 15%

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 ([e-mail]) to make the need for an accommodation known.

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