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Oscar Health Verified
Health Insurance, HealthTech

VP, Provider Integration & Experience

New York, NYHybridFull TimeVice President$240,120–$315,158 /yrPosted 18 days agoVisa sponsorship available

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Required skills

  • provider experience strategy
  • operational solutions
  • enterprise operating model
  • escalated provider issue resolution
  • provider journey
  • cross-functional roadmaps
  • friction reduction
  • provider advocacy
  • Claims
  • Network

Nice to have

  • MHA
  • MPH
  • Jira
  • Salesforce
  • ServiceNow
  • SQL

Role summary

Oscar is seeking a VP, Provider Integration & Experience to lead the provider experience strategy and operational solutions for their Provider Operations & Experience Team. This role involves owning the provider journey, developing cross-functional roadmaps to reduce friction, and overseeing an escalation management organization. The VP will act as the primary advocate for providers, partnering with various departments to translate data into systemic remediations that enhance network satisfaction and deliver ROI. Responsibilities include shaping strategy, building analytical frameworks, managing market intelligence, scaling operational models for issue resolution, and driving organizational change. The position requires strong leadership, data analysis, and stakeholder management skills, with a focus on implementing systemic fixes and reporting to executive leadership. The role is based in New York with a hybrid work schedule.

Hi, we're Oscar. We're hiring a VP, Provider Integration & Experience to join our Provider Operations & Experience 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 Provider Integration and Experience is responsible for driving the overall provider experience strategy, designing operational solutions, and leading the enterprise operating model for escalated provider issue resolution. This position owns the provider journey, developing and executing cross-functional roadmaps to proactively reduce friction while overseeing a world-class, multi-disciplinary escalation management organization.

Reporting directly to executive leadership, this role serves as the principal advocate for providers serving Oscar members. By partnering closely with senior leaders across Claims, Network, Utilization Management, Payment Integrity, Contact Center, Clinical Services and Technology, the Vice President will translate data-driven insights into systemic, root-cause remediations that maximize network satisfaction and deliver high-impact enterprise ROI.

You will report into the SVP, Provider Operations & Experience.

Work Location: This position is based in our New York office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid

Pay Transparency: The base pay for this role is: $240,120 - $315,158 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants and annual performance bonuses.

Responsibilities:

  • Act as the primary internal and external voice and champion for the provider experience.
  • Shape the overarching Oscar Provider Experience strategy, creating a long-term vision to be an easy and dependable partner to providers.
  • Develop deep, analytical frameworks and measures to assess the health of the provider experience and evaluate its overall impact on Oscar’s broader network.
  • Maintain deep healthcare market and competitor intelligence, keeping a pulse on regulatory changes, vendor innovations, and emerging operational models.
  • Build and scale the operating model for escalated provider issues, establishing standardized intake criteria, triage pathways, and closure expectations.
  • Oversee the swift resolution of urgent, high-complexity, or high-profile provider escalations that span multiple cross-functional departments.
  • Foster strong strategic relationships with Subject Matter Experts (SMEs) 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, ensuring successful cross-functional adoption of new operational models, workflow metrics, and provider-centric behaviors.
  • Leverage robust operational data, analytics, and ROI assessments to identify systemic root causes of provider friction and prioritize technical or operational resolutions.
  • Establish tracking mechanisms to guarantee that once a root cause is identified, systemic fixes are fully implemented and verified across strategic accounts.
  • Create and deliver executive-ready reporting, interactive dashboards, and strategic recommendations to senior leadership and board members regarding operational health, system trends, and critical blockers.
  • Empower and mentor a senior-level team, aligning their personal growth with the delivery of high-impact organizational outcomes.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned
  • Requirements:

  • A 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, and C-Suite).
  • 7+ years of direct senior leadership experience, specifically 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 points:

  • Master’s degree from a top-tier program in Business Administration (MBA), Health Administration (MHA), Public Health (MPH), or a closely related field.
  • Proven success standing up, scaling, or transforming a large-scale provider relations, escalation management, or customer service governance function.
  • Extensive experience managing complex partnerships with major national health systems or high-profile clinical provider networks.
  • Proficiency with advanced enterprise workflow tools (e.g., Jira, Salesforce, ServiceNow) and reporting/data environments (e.g., SQL, Tableau).
  • This is an authentic Oscar Health job opportunity.

    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 (accommodations@hioscar.com) 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.

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