Oscar Health · 2 days ago

Vice President, Network Operations

United States

Full-time

Remote

Lead/Staff, Director/Executive

$255K/yr - $335K/yr

15+ years exp

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Responsibilities

Lead the Provider Data Management team to ensure provider information is accurate, complete, and continuously updated.

Develop and implement data quality controls and governance processes to maintain data integrity across systems.

Collaborate with Tech and data partners to optimize systems for efficient data handling, integration, and reporting.

Establish standards and protocols for data collection, validation, and management.

Design and lead strategies for real-time monitoring and periodic assessment of provider performance, utilization, and quality.

Develop KPIs, benchmarks, and reporting dashboards to track network performance and identify areas for improvement.

Oversee periodic provider audits, ensuring alignment with organizational and regulatory standards.

Work with contract management teams to set performance-based incentives, penalties, or corrective action plans when needed.

Build and maintain a Provider Network Center of Excellence to standardize best practices and drive network efficiencies.

Drive consistency in workflows, tools, and methodologies to promote scalability and efficiency.

Serve as a key partner in developing long-term strategies for network operations, capacity planning, and geographic expansion.

Provide leadership, coaching, and mentorship to department leaders.

Establish and maintain relationships with external providers, vendors, and key industry stakeholders.

Compliance with all applicable laws and regulations.

Other duties as assigned.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Healthcare provider network operationsProvider data managementNetwork performanceProcess improvementHealth information systemsData governanceReporting toolsLeadership experience

Required

15+ years of experience in healthcare provider network operations, with a focus on provider data management, network performance, and process improvement.

10+ years of leadership experience

5+ years of experience with health information systems, data governance, and reporting tools.