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Salary: USD 240,120 - 315,158 / annual
Oscar Health is seeking a VP of Provider Integration & Experience to lead the provider experience strategy and operations for the company's healthcare insurance platform. This role reports directly to the SVP of Provider Operations & Experience and serves as the principal internal and external advocate for providers.
Key Responsibilities:
- Develop and execute the overarching Oscar Provider Experience strategy, creating a long-term vision to be an easy and dependable partner to providers.
- Build and scale the operating model for escalated provider issues, establishing standardized intake criteria, triage pathways, and closure expectations.
- Oversee swift resolution of urgent, high-complexity, or high-profile provider escalations spanning multiple cross-functional departments.
- Develop analytical frameworks and measures to assess provider experience health and its impact on Oscar's broader network.
- Foster strategic relationships with Subject Matter Experts and senior functional leaders across Claims, Network, Utilization Management, Payment Integrity, and Technology to streamline operational handoffs and secure resources for systemic fixes.
- Drive organizational change management to ensure successful adoption of new operational models, workflow metrics, and provider-centric behaviors.
- Leverage operational data and analytics to identify systemic root causes of provider friction and prioritize technical or operational resolutions.
- Establish tracking mechanisms to guarantee that systemic fixes are fully implemented and verified across strategic accounts.
- Create executive-ready reporting, interactive dashboards, and strategic recommendations to senior leadership and board members.
- Empower and mentor a senior-level team, aligning personal growth with high-impact organizational outcomes.
- Maintain deep healthcare market and competitor intelligence, keeping a pulse on regulatory changes, vendor innovations, and emerging operational models.
Work Location: Hybrid in New York office, requiring 3 days per week in-office (Thursdays mandatory, two other days flexible).
Requirements:
- Bachelor's degree or commensurate 4 years of experience
- 15+ years of professional experience in healthcare operations, payer operations, network operations, strategic planning, healthcare consulting, or provider relations
- 7+ years of experience collaborating, influencing, and driving strategic alignment at the executive level (SVP, EVP, C-Suite)
- 7+ years of direct senior leadership experience managing multi-team functions, managers, and directors
- Deep technical understanding of payer operations, including claims administration, provider data, reimbursement methodologies, utilization management, payment integrity, and provider relations workflows
- Demonstrated experience building operational models, SLA frameworks, and governance structures in ambiguous environments
Bonus Qualifications:
- Master's degree from top-tier program (MBA, MHA, MPH, or related field)
- Proven success standing up, scaling, or transforming large-scale provider relations, escalation management, or customer service governance functions
- Extensive experience managing complex partnerships with major national health systems or high-profile clinical provider networks
- Proficiency with advanced enterprise workflow tools (Jira, Salesforce, ServiceNow) and reporting/data environments (SQL, Tableau)
