Senior Director, Escalated Provider Resolution (Remote)

name; Dallas (TX); On-site; USD 196,732 - 258,211; Full time

Benefits offered by this job

Unlimited vacation

Equity grants

Annual performance bonuses

Full benefits

Job summary

Oscar is hiring a Senior Director, Escalated Provider Issue Resolution to lead a multi-disciplinary team in Network & Provider Management. The role focuses on strategic provider support, complex issue resolution, and governance to improve escalation and remediation across multiple operations.

You will report to the SVP, Network & Provider Management and work fully remote, with potential hybrid elements as the model evolves.

Qualifications

• 12+ years in healthcare operations, provider operations, payer operations, or related fields.
• 7+ years in senior leadership, managing managers or multi-team functions.
• Experience leading complex issue resolution, escalation management, or service model design in healthcare.

Responsibilities

• Lead multi-disciplinary provider issue resolution organization and governance.
• Build scalable operating model for escalated provider issues with defined intake, triage, escalation, and metrics.
• Oversee resolution of high-impact provider issues requiring cross-team coordination.
• Partner across Claims, Network, Utilization Management, Payment Integrity, Contact Center, Analytics to improve handoffs and reduce escalations.
• Establish closed-loop tracking to address root causes and reduce recurring provider friction.
• Create executive-ready reporting on provider trends, health, risks, and decisions.

Skills

Executive leadership

Strategic thinking

Stakeholder management

Analytical skills

Communication

Change management

Tools

Jira

Salesforce

ServiceNow

Zendesk

Job description

Oscar is hiring a Senior Director, Escalated Provider Issue Resolution to lead a multi-disciplinary team in Network & Provider Management. The role focuses on strategic provider support, complex issue resolution, and governance to improve escalation and remediation across multiple operations.

You will report to the SVP, Network & Provider Management and work fully remote, with potential hybrid elements as the model evolves.