Director, Provider Operations

Hi, we're Oscar. We're hiring a Director to join our Provider Operations team.

Oscar is the first health insurance company built around a full stack technology platform and a 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 Director, Provider Operations builds, scales and optimizes Oscar’s provider data management, contracting, and credentialing processes. This role is responsible for setting the vision and strategy for provider operations and data functions, and designing processes that improve Oscar’s capabilities in serving members and providers. The role does this by working with partners and stakeholders cross-functionally to take ideas from vision to implementation.

You will report to the Senior Director, Provider Operations.

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

This is a hybrid role in our New York City office. You will work part of the time in the office and part of the time remote / work-from-home. #LI-Hybrid

Pay Transparency:

The base pay for this role is: $158,400 - $207,900 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program, company equity grants and annual performance bonuses.

Responsibilities

• Lead, coach and develop a high-performing team of managers and their reports
• Provide structure and support for the team, allowing them to keep their focus on delivering key initiatives
• Using industry best practices, ensure the processes and tools designed are extensible, efficient and scalable using the most up to date technologies
• Partner closely with operations, product, technical and market stakeholders to deliver the next generation of provider operations capabilities.
• Become a trusted partner to our cross-functional business partners, enabling delivery of growth and expansion targets
• Develop foundational processes for our scaling provider data and contracting
• Lead team to surface data, process, and technology issues through proactive identification, measurement, and monitoring of our operations; partner cross functionally to develop end-to-end strategy that leverages these insights to meet expectations of a lead health plan in the industry
• Identify automation opportunities where stable processes have been implemented and are sustainable to gain efficiencies by adding technical tooling in place of human intervention.
• Identification of administrative expense savings through process improvement, tooling investments, offshoring or vendor partnerships.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• A bachelor’s degree or 5+ years of operating experience
• 10+ years of work in operations within health insurance
• 5+ years of experience building, coaching and developing operational teams 
• 5+ years experience with network operations, provider data management and contracting processes
• 5+ years prior successful experience developing and managing large scale initiatives coordinating with internal and external stakeholders
• 5+ years of experience designing and improving business process for optimization as well as standing up accompanying operating and technical procedures
• 5+ years of experience using data to influence business decisions 
• 5+ years of experience program management

Bonus points

• Experience with strategic programs that required successful presentation of business cases to obtain C-suite leadership agreement. 
• Process Improvement, Lean Six Sigma, or SQL
• Experience in understanding and enhancing data model/management processes
• Experience with service operations organizations.