Remote VP, Network Strategy & Contracts

Embedded Shishya; Abilene (TX); On-site; USD 240,000 - 315,000; Full time

Job summary

Oscar Health is hiring a Vice President of Network Management to lead provider network strategy, contracting, and performance across markets. You will work with internal and external stakeholders to improve access, quality, and cost containment, reporting to the SVP, Network & Provider Management.

This remote role may require hybrid work depending on metro area, with a focus on building relationships with major health systems and overseeing complex contracts to optimize outcomes for members.

Qualifications

• 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.

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

Skills

15+ years experience in network mgmt

10+ years leadership

10+ years provider contracting

8+ years large provider networks

Job description

Oscar Health is hiring a Vice President of Network Management to lead provider network strategy, contracting, and performance across markets. You will work with internal and external stakeholders to improve access, quality, and cost containment, reporting to the SVP, Network & Provider Management.

This remote role may require hybrid work depending on metro area, with a focus on building relationships with major health systems and overseeing complex contracts to optimize outcomes for members.