Strategic Provider Network Growth Director (Hybrid)

Oscar Health; New York (NY); Hybrid; USD 199,000 - 261,000; Full time

Benefits offered by this job

Hybrid work schedule

Equity grants

Annual performance bonuses

Unlimited vacation program

Medical, dental, and vision benefits

Job summary

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.

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.

Skills

Leadership

Strategic planning

CMS knowledge

CRM tools

Contracting coordination

Education

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

Tools

Quest Analytics

CRM tools

Job description

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.