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Oscar Health

Tech-driven health insurance with virtual care

Head of Provider Network Development – Senior Director

Business OperationsConfirmed live in the last 24 hours
Full-timeNew York, NY, USA

About the Job

Requirements

  • A bachelor's degree in Healthcare Administration, Business Administration, Public Health, or a related field is required.
  • At least 12 years of experience in the healthcare industry is required.
  • At least 5 years of progressive leadership experience in provider network development, network operations, or provider recruitment within a health plan, MSO, or health system is required.
  • Experience engaging and contracting with community health centers, Federally Qualified Health Centers (FQHCs), and independent provider groups is required.
  • Demonstrated understanding of Centers for Medicare & Medicaid Services (CMS) and state-level network adequacy requirements and access-to-care standards is required.
  • Experience managing multi-departmental workflows across contracting, legal, operations, and market leadership teams is required.
  • Experience using network management platforms such as Quest Analytics and customer relationship management (CRM) tools to drive recruitment strategy is required.

Responsibilities

  • Architect and complete targeted network expansion strategies, leading end-to-end recruitment plans for non-anchor practitioners, medical groups, and Essential Community Providers (ECPs) and Federally Qualified Health Centers (FQHCs) to meet geographic growth and access goals.
  • Monitor regional provider density and access metrics to prioritize and close gaps in 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, Affordable Care Act (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 employees and contractors, promoting accountability, operational thoughtfulness, and continuous improvement.

Desired Qualifications

  • A master's degree in Health Administration, Public Health, or Business Administration is a bonus qualification.

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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