VP, Provider Integration & Experience

Oscar Health•New York, NY

3d•$240,120 - $315,158•Hybrid

About The Position

The Vice President of Provider Integration and Experience drives Oscar’s provider experience strategy, designs operational solutions, and leads the enterprise operating model for escalated provider issue resolution. The role owns the provider journey, develops and executes cross-functional roadmaps to reduce friction, and oversees a multidisciplinary escalation management organization. Reporting to the SVP, Provider Operations & Experience, the VP serves as a principal advocate for providers serving Oscar members. The position partners with senior leaders across Claims, Network, Utilization Management, Payment Integrity, Contact Center, Clinical Services, and Technology to turn data-driven insights into root-cause remediation, improve network satisfaction, and deliver enterprise impact. The role is based in Oscar’s New York office and follows a hybrid schedule with three in-office days per week. Thursdays are required in-office; the other two office days are flexible. The base salary is $240,120–$315,158 per year. The role is also eligible for employee benefits, Oscar’s unlimited vacation program, company equity grants, and annual performance bonuses.

Requirements

Bachelor’s degree or commensurate four years of experience.
15 or more years of professional experience in healthcare operations, payer operations, network operations, strategic planning, healthcare consulting, or provider relations.
7 or more years collaborating, influencing, and driving strategic alignment at the executive level (SVP, EVP, and C-suite).
7 or more years of direct senior leadership experience managing multi-team functions, managers, and directors.
Deep technical understanding of payer operations, including claims administration, provider data, reimbursement methodologies, utilization management, payment integrity, and provider relations workflows.
Demonstrated experience building operational models, SLA frameworks, and governance structures in ambiguous environments.

Nice To Haves

Master’s degree from a top-tier program in Business Administration (MBA), Health Administration (MHA), Public Health (MPH), or a closely related field.
Proven success standing up, scaling, or transforming a large-scale provider relations, escalation management, or customer service governance function.
Extensive experience managing complex partnerships with major national health systems or high-profile clinical provider networks.
Proficiency with advanced enterprise workflow tools such as Jira, Salesforce, or ServiceNow, and reporting/data environments such as SQL or Tableau.

Responsibilities

Act as the primary internal and external voice and champion for the provider experience.
Shape Oscar’s provider experience strategy and establish a long-term vision for being an easy and dependable partner to providers.
Develop analytical frameworks and measures to assess provider experience and its impact on Oscar’s broader network.
Maintain healthcare market and competitor intelligence, including regulatory changes, vendor innovations, and emerging operational models.
Build and scale the operating model for escalated provider issues, including standardized intake criteria, triage pathways, and closure expectations.
Oversee resolution of urgent, complex, or high-profile provider escalations spanning multiple departments.
Build strategic relationships with subject matter experts and senior leaders across Claims, Network, Utilization Management, Payment Integrity, and Technology to streamline handoffs and secure resources for systemic fixes.
Drive organizational change management and cross-functional adoption of operational models, workflow metrics, and provider-centric behaviors.
Use operational data, analytics, and ROI assessments to identify root causes of provider friction and prioritize technical or operational resolutions.
Establish tracking mechanisms to ensure identified systemic fixes are implemented and verified across strategic accounts.
Manage settlements and independent dispute resolution processes with legal and other business support teams.
Create executive-ready reporting, interactive dashboards, and recommendations for senior leaders and board members about operational health, system trends, and critical blockers.
Empower and mentor a senior-level team, aligning individual development with organizational outcomes.
Comply with applicable laws and regulations.
Perform other duties as assigned.