Head of Provider Network Development (Senior Director)

Oscar Health•New York, NY

2d•$198,720 - $260,820•Hybrid

About The Position

Oscar is hiring a Head of Provider Network Development to lead strategic provider sourcing and expand and improve its payer network. The role focuses on recruiting non-anchor providers, Essential Community Providers (ECPs), and Federally Qualified Health Centers (FQHCs) to support network adequacy, patient access, and overall network performance. The team also manages incoming provider participation requests and works with Network Contracting, Network Strategy, and Market Leadership to build a compliant network that supports profitable member growth. The position is based in Oscar’s New York office and follows a hybrid schedule requiring three in-office days per week. Thursdays are required for team meetings and events; the other two office days are flexible. Travel is required up to 15%. 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 the 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, such as a Master of Health Administration, Master of Public Health, or Master of Business Administration.

Responsibilities

Architect and execute 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, prioritizing and closing 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 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 employees and contractors, while promoting accountability, operational thoughtfulness, and continuous improvement.