Oscar
Head of Provider Network Development (Senior Director)
New York, New York, United States. Posted a month ago
The role
You will lead strategic provider sourcing to expand and improve the payer network. This includes driving recruitment of non-anchor providers, ECPs, and FQHCs while supporting network adequacy and performance.
What you will do
- Architect and complete targeted network expansion strategies
- Lead end-to-end recruitment plans for non-anchor practitioners, medical groups, and ECPs/FQHCs
- Monitor regional provider density and access metrics to meet adequacy and accessibility standards
- Partner with Network Contracting, Network Strategy, and Market Leadership
- Track and lead recruitment pipeline velocity and team productivity
- Use network design analytics to monitor recruitment pipeline throughput
- Build, mentor, and lead a high-performing team of network development professionals
Required qualifications
- Bachelor's degree in Healthcare Administration, Business Administration, Public Health, or a related field
- 12+ years of experience in healthcare industry
- 5+ years of progressive leadership experience in provider network development, network operations, or provider recruitment within a health plan, MSO, or health system
- Experience engaging and contracting with community health centers, FQHCs, and independent provider groups
- Demonstrated understanding of CMS and state-level network adequacy requirements and access-to-care standards
- Experience managing multi-departmental workflows across contracting, legal, operations, and market leadership teams
- Experience using network management platforms (e.g., Quest Analytics) and CRM tools
Nice to have
- Master's degree (Master of Health Administration, Master of Public Health, or Master of Business Administration)
Benefits
- 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
- unlimited vacation program
- company equity grants
- annual performance bonuses
About the company
Oscar is a health insurance company built around a full stack technology platform. It was started in 2012 to create a health insurance company that behaves like a doctor in the family.