VP, Network Management - Texas, Central, West Markets

United Statesmid

OperationsManagement

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Quick Summary

Key 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,

Requirements Summary

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,

Technical Tools

OperationsManagement

Hi, we're Oscar. We're hiring a VP, Network Management to join our 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

~1 min read

The Vice President of Network Management is responsible for the contracting strategy, development, and management of a high-performing provider network for a defined geographic area within Oscar’s footprint. This role oversees the strategic planning and execution of contracts that ensure a robust, cost-effective, and comprehensive provider network that meets the needs of our members, including provider account management & service. This leader collaborates with internal and external stakeholders to improve network performance, enhance provider relationships, ensure regulatory compliance, and drive high-quality, cost-effective care delivery.

You will report into the SVP, Network & Provider Management.

Responsibilities

~1 min read

→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

Requirements

~2 min read

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.

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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.

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