VP, Network Management - Texas, Central, West Markets
Core
Strategic planning, execution, and management of a high-performing provider network for a defined geographic area, focusing on contracting strategy, provider relationships, and cost-effective care delivery.
Role type
VP, Network Management
Builds
Robust, cost-effective, and comprehensive provider networks for Oscar Health members
Domain
Health Insurance / Provider Network Management
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Provider contracting strategy, network adequacy planning, stakeholder management, regulatory compliance, team leadership, contract negotiation, performance metrics analysis
Preferred skills
Value-based contracting models, health system executive relationships, managed care operations
Technologies
N/A
Responsibilities
Lead execution of strategic plans for provider network growth and optimization; Develop strategies to enhance network adequacy and member experience; Oversee provider contracting strategy including value-based and fee-for-service models; Build and maintain relationships with health system leaders and hospital executives; Negotiate and manage high-value complex contracts; Monitor and analyze network performance metrics; Ensure compliance with state, federal, and accreditation standards; Lead, mentor, and develop a high-performing network management team
Seniority
VP, strategic leadership & team management
