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Oscar Health

Tech-driven health insurance with virtual care

Director of Product - Provider Data Management

Technical Product ManagementConfirmed live in the last 24 hours
Full-timeNew York, NY, USA

About the Job

Requirements

  • At least 10 years of product management experience, including ownership of complex, multi-team product areas.
  • At least 5 years of people-management experience, including coaching, performance management, and development of Product Managers.
  • Experience leading strategy and execution for technically complex products with significant data, platform, systems-integration, or operational-workflow components.
  • Ability to define meaningful product and operational metrics, use data to make decisions, and deliver measurable outcomes.
  • Experience partnering effectively with engineering, data, design, operations, and senior business leaders in a highly cross-functional environment.
  • Ability to explain technical concepts and tradeoffs to varied audiences and manage stakeholders effectively.
  • Ability to set direction amid ambiguity, make principled prioritization decisions, and deliver results across interdependent teams.
  • Experience with provider-facing healthcare products or payer-provider operations.
  • Familiarity with provider directory management, credentialing, claims processing and disputes, provider onboarding, and/or provider servicing.

Responsibilities

  • Define and communicate a clear multi-year product vision and strategy for Provider Data Management, aligned to Network business priorities and Oscar’s broader operating strategy.
  • Own the product portfolio spanning provider ingestion, provider data reconciliation, provider pipeline, credentialing, contract-to-claim-ready workflows, provider-data maintenance, and downstream distribution.
  • Establish measurable outcomes for provider-data accuracy, time from contract signature to claim readiness, incorrect denials for credentialed entities, downstream configuration issues, and operational efficiency.
  • Establish clear data governance, ownership, quality standards, lineage, and controls for provider data across its lifecycle.
  • Lead, coach, and develop a team of Product Managers; establish effective product practices, decision-making forums, and operating rhythms across the portfolio.
  • Develop and empower the Product Management team while personally leading the portfolio’s most consequential strategic, technical, and cross-functional decisions.
  • Partner with the Director of Network Management and Provider Servicing to translate network strategy, operating policies, frontline needs, and service insights into scalable product capabilities.
  • Partner with Claims and downstream teams to reduce provider-data-related incorrect denials involving credentialed entities.
  • Own product strategy, portfolio prioritization, and delivery decisions for Provider Data Management; partner with the Director of Network Management and Provider Servicing on business policies, operational requirements, change readiness, and adoption.
  • Partner with Engineering and Data Science teams to set direction for data models, ingestion and ETL pipelines, entity and relationship logic, data-quality controls, lineage, reconciliation logic, and platform reliability.
  • Modernize and simplify fragmented workflows, reducing manual intervention, downstream configuration defects, and the time required to identify and resolve provider-data issues.
  • Make complex data decisions transparent to operational partners by improving explainability, visibility, and operator control over how provider data is reconciled, maintained, and surfaced.
  • Ensure appropriate self-service capabilities enable business operators to safely manage approved configuration and workflow changes without unnecessary engineering intervention.
  • Build alignment among senior leaders and cross-functional stakeholders; communicate strategy, tradeoffs, risks, progress, and results.
  • Use qualitative insight and quantitative analysis to prioritize investments, evaluate performance, and evolve product strategy.
  • Comply with all applicable laws and regulations.
  • Perform other duties as assigned.

Desired Qualifications

  • Experience with provider-facing healthcare products or payer-provider operations.
  • Experience with provider directory management, credentialing, contracting, claims processing and disputes, provider onboarding, provider servicing, healthcare operations, or another similarly regulated and operationally complex domain.
  • Experience leading a product portfolio through significant modernization, consolidation, or reliability improvement.
  • Demonstrated success building scalable operational tools and self-service capabilities that reduce manual work while maintaining appropriate controls.
  • Experience developing product strategy that contributes to broader company strategy and business performance.

About the Company

Oscar Health

Tech-driven health insurance with virtual care

Oscar Health is a U.S. health insurer that uses technology to simplify buying and using health care, offering ACA-compliant and other plans for individuals, families, and small businesses, along with 24/7 virtual care. Members pay premiums and access care through a digital platform that includes telemedicine, provider search, and cost-management tools to find in-network doctors, hospitals, and pharmacies. It differentiates itself with a tech-enabled member experience that emphasizes accessibility, easy navigation, round-the-clock telemedicine, and clear connections to in-network providers. The goal is to make healthcare simple, accessible, and affordable in the United States by using technology to streamline enrollment, care access, and costs.

Company size
1,001-5,000
Company stage
IPO
Headquarters
New York City, New York
Founded
2012

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