VP, Network Management - Texas, Central, West Markets

Hi, we're Oscar. We're hiring a VP, Network Management to join our Network Team.

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

The Vice President of Network Management is responsible for the contracting strategy, development, and management of a high-performing provider network for a defined geographic area within Oscar’s footprint. This role oversees the strategic planning and execution of contracts that ensure a robust, cost-effective, and comprehensive provider network that meets the needs of our members, including provider account management & service. This leader collaborates with internal and external stakeholders to improve network performance, enhance provider relationships, ensure regulatory compliance, and drive high-quality, cost-effective care delivery.

You will report into the SVP, Network & Provider Management.

Work Location: This is a remote / work-from-home role. You must reside in one of the following states: Arizona, California, Colorado, Florida, Georgia, Illinois, Michigan, Nevada, Ohio, or Texas. Note, this list of states is subject to change. #LI-Remote

Pay Transparency: The base pay for this role is: $240,120 - $315,157 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants and annual performance bonuses.

• Lead the execution of short- and long-term strategic plans for provider network growth, alignment, and optimization.

• Develop a strategy to enhance network adequacy, access, and member experience across multiple markets.

• Oversee execution of provider contracting strategy, including value-based and fee-for-service contracting models, to improve care quality and control costs.

• Build and maintain strong relationships with key health system leaders, hospital executives, and other network providers.

• Negotiate and manage high-value, complex contracts to support cost containment and quality initiatives.

• Monitor and analyze network performance metrics, including cost, utilization, quality, and member satisfaction.

• Execute initiatives to enhance provider network performance, drive efficiencies, and improve member access to care.

• Ensure that the provider network meets all state, federal, and accreditation standards for access, adequacy, and service.

• Stay abreast of regulatory changes and industry best practices to ensure compliance and minimize risk.

• Work with compliance and legal teams to address and mitigate risks related to provider contracting and network performance.

• Lead, mentor, and develop a high-performing network management team to drive results and support professional growth.

• Compliance with all applicable laws and regulations

• Other duties as assigned

• 15+ years of progressive experience in network management, provider relations, or health plan operations

• 10+ years of leadership experience

• 10+ years experience in provider contracting, negotiations, and building provider relationships.

• 8+ years managing large provider networks within a health insurance or managed care setting.

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