VP, Network Management - Texas, Central, West Markets

Posted 2 Days Ago
Be an Early Applicant
Hiring Remotely in Texas, USA
Remote
240K-315K Annually
Expert/Leader
Healthtech • Insurance
The Role
Lead contracting strategy and management for provider networks across multiple markets. Drive network adequacy, value-based and fee-for-service contracting, provider relationships, performance monitoring, regulatory compliance, risk mitigation, and team leadership to deliver cost-effective, high-quality care and improved member access and satisfaction.
Summary Generated by Built In

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.

About the role:

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 position, open to candidates who reside in: Arizona, California, Colorado, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Mexico, Ohio, Oregon, South Dakota, Texas, Utah, Washington or Wisconsin. A hybrid work schedule, with 3 days of in-office work per week, may be required depending on your metro area. #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.

Responsibilities:

  • 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

Requirements:

  • 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.

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency:  Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team ([email protected]) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy.

Skills Required

  • 15+ years 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
  • Reside in one of the listed eligible states (remote, with possible hybrid requirements)

Oscar Health Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Oscar Health and has not been reviewed or approved by Oscar Health.

  • Healthcare Strength Employer-sponsored medical coverage for employees and their families with mental-health support is prominently offered. Wellness programming and digital care access add to perceived strength.
  • Parental & Family Support Paid parental leave of 10+ weeks, backup care, and family-forming support (including fertility and adoption benefits) are part of the package. Reproductive‑loss leave is also noted.
  • Leave & Time Off Breadth Multiple time‑off options, wellness days, and an unlimited vacation program for some roles are described. Paid holidays, paid sick time, and a long‑tenure sabbatical broaden time‑away choices.

Oscar Health Insights

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The Company
HQ: New York, NY
2,200 Employees
Year Founded: 2012

What We Do

Health care is broken; we're trying to fix it. The Oscar team is focused on utilizing technology, design and data to humanize health care. We're a group of technology and health care professionals who looked at the current state of the US health care system, got frustrated by the horrible consumer experience, and decided to do something big about it. Backed by a renowned set of investors and advisors, we’ve set out to revolutionize health care.

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