Hi, we’re Oscar. We’re hiring a Vice President, Network Operations to join our Network team.

Oscar is the first health insurance company built around a full stack technology platform and a 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

The Vice President of Network Operations is responsible for overseeing the design, implementation, and management of the provider network strategy. This role includes leading teams dedicated to Provider Data Management, Provider Network Monitoring & Performance Management (including access/adequacy), and the Provider Network Center of Excellence. The VP drives network optimization, ensures quality and compliance, and enhances operational efficiency within the provider network. This leader collaborates with executive stakeholders to align network performance with organizational goals, leveraging analytics to make data-driven decisions.

You will report to the Senior Vice President, Network and Provider Management.

Work Location: 

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.  

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role is: $255,200 - $334,950 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program, company equity grants and annual performance bonuses.

Responsibilities

• Lead the Provider Data Management team to ensure provider information is accurate, complete, and continuously updated.
• Develop and implement data quality controls and governance processes to maintain data integrity across systems.
• Collaborate with Tech and data partners to optimize systems for efficient data handling, integration, and reporting.
• Establish standards and protocols for data collection, validation, and management.
• Design and lead strategies for real-time monitoring and periodic assessment of provider performance, utilization, and quality.
• Develop KPIs, benchmarks, and reporting dashboards to track network performance and identify areas for improvement.
• Oversee periodic provider audits, ensuring alignment with organizational and regulatory standards.
• Work with contract management teams to set performance-based incentives, penalties, or corrective action plans when needed.
• Build and maintain a Provider Network Center of Excellence to standardize best practices and drive network efficiencies.
• Drive consistency in workflows, tools, and methodologies to promote scalability and efficiency.
• Serve as a key partner in developing long-term strategies for network operations, capacity planning, and geographic expansion.
• Provide leadership, coaching, and mentorship to department leaders
• Establish and maintain relationships with external providers, vendors, and key industry stakeholders.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 15+ years of experience in healthcare provider network operations, with a focus on provider data management, network performance, and process improvement.
• 10+ years of leadership experience
• 5+ years of experience with health information systems, data governance, and reporting tools.