VP, Network Management
New
O
Oscar HealthHealth Insurance
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.Full-TimeVp
Salary$240,120 - $315,157 per year
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Job Details
- Experience
- 15+ years of progressive experience in network management, provider relations, or health plan operations
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
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.
- Lead, mentor, and develop a high-performing network management team to drive results and support professional growth.
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