VP, Market Management (Central Market)

Oscar is a health insurance company built around a full stack technology platform focused on serving its members. The VP, Market Management is responsible for delivering sustainable profitable growth across markets, leading teams to develop strategies that optimize market economics, and managing key relationships within the market.

Responsibilities:

• Serve as the primary point of accountability for establishing and attaining market-level performance metrics, including growth, financial, and quality metrics
• Partner with internal strategy teams to identify and surface unmet market-level consumer needs and assist in the planning and rollout of new products
• Shape, maintain and oversee the long-term business and expansion strategy and related operating plans for your market(s)
• Working with finance, data, and actuarial partners, develop a working command over market-level utilization and cost dynamics to quickly identify any deviations from expectations, and potential mitigants
• Serve as a senior ambassador across the company and externally within the community for Oscar’s commercial interests including interaction with state regulators
• Partner with Clinical leadership to ensure value-balanced decision making and to establish the culture and initiatives required to achieve market-level quality performance targets
• Partner with the Growth team on the development and attainment of membership, retention, and revenue targets and initiatives to accomplish them
• Partner with Network leadership on setting provider contracting and operations priorities required for local market success
• Contribute as a member of the Market Oscar Insurance Leadership team and as a senior leader within Oscar to bring the perspective of local to our strategy development and decision making
• Develop and maintain relationships with strategic hospital and provider systems and oversee transactions within your market
• Ensure a high standard of excellence and compliance, including network adequacy, for the operations within your market
• Attract and retain top talent
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• 15+ years of experience
• 10+ healthcare industry experience including P&L responsibility
• 10+ years of leadership experience, leading and developing high performing teams
• 10+ years provider-facing experience
• An MBA or other professional degree from a top-tier program with a clear track record of excellence
• Experience with growth-stage enterprises and scaling departments and processes