Head of Provider Network Development

Oscar Health•New York, NY

10d•$198,720 - $260,820•Hybrid

About The Position

Oscar is hiring a Head of Provider Network Development to join their Provider Network team. Oscar is a health insurance company that started in 2012 with a focus on technology and member service. As the Head of Provider Network Development, the role will lead strategic provider sourcing to expand and improve the payer network. This includes recruiting non-anchor providers, Essential Community Providers (ECPs), and Federally Qualified Health Centers (FQHCs). The position will support network adequacy standards, improve patient access, and enhance overall network performance. The team also handles incoming provider participation requests and collaborates with Network Contracting, Network Strategy, and Market Leadership to build a compliant network for profitable member growth. The role reports to the Senior Vice President, Network & Provider Management.

Requirements

Bachelor's degree in Healthcare Administration, Business Administration, Public Health, or a related field
12+ years of experience in healthcare industry
5+ years of progressive leadership experience in provider network development, network operations, or provider recruitment within a health plan, MSO, or health system.
Experience engaging and contracting with community health centers, FQHCs, and independent provider groups.
Demonstrated understanding of CMS and state-level network adequacy requirements and access-to-care standards.
Experience managing multi-departmental workflows across contracting, legal, operations, and market leadership teams.
Experience using network management platforms (e.g., Quest Analytics) and CRM tools to drive recruitment strategy.

Nice To Haves

Master's degree (Master of Health Administration, Master of Public Health, or Master of Business Administration)
Travel required? Yes up to 15%

Responsibilities

Architect and complete targeted network expansion strategies, leading end-to-end recruitment plans for non-anchor practitioners, medical groups, and ECPs/FQHCs to meet geographic growth and access goals.
Monitor regional provider density and access metrics to prioritize and close any gaps to exceed state, federal (CMS) and product-level adequacy and accessibility standards.
Partner with Network Contracting, Network Strategy, and Market Leadership to align provider recruitment targets with regulatory needs and broader commercial, ACA, or Medicare growth plans.
Track and lead recruitment pipeline velocity and team productivity.
Use network design analytics to monitor recruitment pipeline throughput, and address regulatory coverage gaps to improve the Provider Network.
Build, mentor, and lead a high-performing team of network development professionals, sometimes including both employees and contractors, promoting a culture of accountability, operational thoughtfulness, and continuous improvement.