Vice President, Network Operations

Summary

Join Oscar as our Vice President, Network Operations and oversee the design, implementation, and management of our provider network strategy. Lead teams dedicated to Provider Data Management, Provider Network Monitoring & Performance Management, and the Provider Network Center of Excellence. Drive network optimization, ensure quality and compliance, and enhance operational efficiency. Collaborate with executive stakeholders to align network performance with organizational goals, using data-driven decision-making. This role reports to the Senior Vice President, Network and Provider Management and offers a blended work culture with remote options. The base pay is $255,200 - $334,950 per year, plus benefits, unlimited vacation, equity grants, and annual performance bonuses.

Requirements

• 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

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

Benefits

• Employee benefits
• Participation in Oscar’s unlimited vacation program
• Company equity grants
• 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