Hi, we're Oscar. We're hiring a Senior Director, Network to join our P&L team.
Oscar is the first health insurance company built around a full stack technology platform and a 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.
About the role
Responsible for operationalizing network adequacy standards and for working across the market P&Ls, legal, regulatory, configuration, credentialing and provider data teams to ensure ongoing compliance with network adequacy requirements.
You will report to the Senior Vice President, P&L.
Work Location:
Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.
If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.
You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote
Pay Transparency:
The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $192,000 - $252,000 per year. The base pay for this role in all other locations is: $172,800 - $226,800 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program, company equity grants and annual performance bonuses.
Responsibilities
- Ensure the organization maintains an always-current understanding of Oscar’s market-level network strength as measured by state and federal adequacy standards including partnering with internal and external parties for the reporting, data and insights needed to operationalize improvement opportunities with accountable teams
- Work with respective Market Leadership to ensure they understand the efficiency and effectiveness of their Direct Contracting efforts and opportunities and requirements for improvement against standards
- Build and lead a matrixed Direct Contracting tiger team to allow for market-level augmentation on dedicated efforts to build or repair provider networks
- Develop and run an enterprise-level governance framework for Network Adequacy including leveraging internal and external standards, measurements for success, enterprise reporting on network status, progress toward goals, and risks
- Partner cross-functionally to identify process improvements and implement solutions related to network implementation and maintenance
- Compliance with all applicable laws and regulations
- Other duties as assigned
Qualifications
- A bachelor's degree or commensurate 4 years of experience
- 12+ years of experience in healthcare industry
- 7+ years of proven experience leading and managing large scale initiative and cross organizational projects
Bonus Points
- Experience working with legal and regulatory teams to provide strategic recommendations and ensure compliance with network adequacy requirements
- 7+ years of healthcare experience focused on network development and provider management
