VP, Market Management (Central Market)

Oscar Health

10h•Remote

About The Position

The VP, Market Management is responsible for delivering sustainable profitable growth across their markets and serves as the P&L leader for their markets. This role leads both direct and matrixed teams to develop market-level strategies in support of Oscar’s enterprise goals, specifically, optimizing the top-line and bottom-line economics of the market. The VP Market Management works in coordination with other internal stakeholders to manage key relationships in the market including Network, Distribution and Regulatory, serving as a face of Oscar in their market.

Requirements

15+ years of experience
10+ healthcare industry experience including P&L responsibility
10+ years of leadership experience, leading and developing high performing teams
10+ years provider-facing experience

Nice To Haves

An MBA or other professional degree from a top-tier program with a clear track record of excellence
Experience with growth-stage enterprises and scaling departments and processes

Responsibilities

Serve as the primary point of accountability for establishing and attaining market-level performance metrics, including growth, financial, and quality metrics
Partner with internal strategy teams to identify and surface unmet market-level consumer needs and assist in the planning and rollout of new products
Shape, maintain and oversee the long-term business and expansion strategy and related operating plans for your market(s)
Working with finance, data, and actuarial partners, develop a working command over market-level utilization and cost dynamics to quickly identify any deviations from expectations, and potential mitigants
Serve as a senior ambassador across the company and externally within the community for Oscar’s commercial interests including interaction with state regulators
Partner with Clinical leadership to ensure value-balanced decision making and to establish the culture and initiatives required to achieve market-level quality performance targets
Partner with the Growth team on the development and attainment of membership, retention, and revenue targets and initiatives to accomplish them
Partner with Network leadership on setting provider contracting and operations priorities required for local market success
Contribute as a member of the Market Oscar Insurance Leadership team and as a senior leader within Oscar to bring the perspective of local to our strategy development and decision making.
Develop and maintain relationships with strategic hospital and provider systems and oversee transactions within your market
Ensure a high standard of excellence and compliance, including network adequacy, for the operations within your market
Attract and retain top talent
Compliance with all applicable laws and regulations
Other duties as assigned