Senior Director, Pharmacy & Behavioral Health Program Operations

Summary

Join Oscar as a Senior Director, Pharmacy & Behavioral Health and lead our Program Operations team. You will be responsible for managing key vendor partners providing core benefits like prescription, behavioral health, and transplant services. Develop strategies, implement programs, and ensure cost-effectiveness and high quality. This role requires extensive experience in program management, healthcare, and team leadership. The position offers a blended work culture with remote options and a competitive salary and benefits package, including performance bonuses, unlimited vacation, and comprehensive health and wellness benefits.

Requirements

• 12+ years program management of strategic partners
• 5+ of experience in healthcare, including roles at consulting firms, PBM, or health plans
• 7+ years leading people and teams
• Experience with Vendor Management on behalf of health plans OR Account Management for a vendor who services health plan
• Knowledge of the PBM industry

Responsibilities

• Design, implement and lead cross-functional strategy for key delegate vendor partners providing core benefit offerings including Prescription Benefit, Behavioral Health and Transplant
• Select and manage strategic vendor partners ensuring that we have a clinically effective and cost-effective program
• Responsible for the implementation and execution of the pharmacy behavioral health & transplant benefit
• Oversee the Evaluation of opportunities to build internal capabilities vs. outsource to external vendors to select the optimal model for Oscar to pursue
• Drive transformation based on latest trends in the marketplace to activate and scale high potential and impact opportunities
• Enhance the departments overall value by setting and achieving justifiable and scaled goals
• Identify opportunities for efficiency and automation
• Foster widespread engagement – by internal and external stakeholders
• Manage team and external partners to specific and measurable goals in quality and productivity and ensure team is meeting performance targets and regulatory requirements
• Represent Program Ops and works with senior management, executives, vendors and/or major customers/partners which frequently involves negotiating matters of significance to the organization
• Support departmental budgeting process including support business case justification for major investments
• Compliance with all applicable laws and regulations
• Other duties as assigned

Preferred Qualifications

• Health plan experience
• MBA

Benefits

• Employee benefits
• Participation in Oscar's unlimited vacation program
• Annual performance bonuses
• Medical, dental, and vision benefits
• 11 paid holidays
• Paid sick time
• Paid parental leave
• 401(k) plan participation
• Life and disability insurance
• Paid wellness time and reimbursements