VP, Network Management - Texas, Central, West Markets

Oscar Health is a health insurance company focused on creating a member-centric experience through technology. The Vice President of Network Management will lead the development and management of a high-performing provider network, ensuring strategic planning and execution of contracts that meet member needs while enhancing provider relationships.

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