Job details

Director, Member & Provider Programs

Hi, we're Oscar. We're hiring a Director, Member & Provider Program Operations to join our Member & Provider Programs team.

Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role

You will drive the strategy, program design and implementation of company strategy in Provider, Member and Broker Services. The primary responsibility for this role is to set the overall department strategy and deploy tactics that allow us to enhance our overall program value. You will also be responsible for program effectiveness to ensure the strategies we deploy drive intended results.

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $174,400 - $228,900 per year. The base pay for this role in all other locations is: $156,960 - $206,010 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program, company equity grants and annual performance bonuses.

Responsibilities

Set, drive, and execute on the department strategy and vision to enhance program’s overall value including determining and uncovering new opportunities
Develop and administer a program effectiveness pillar aimed at ensuring our cross functional business is aligned on outcomes, that we have the right measurement and methodology to demonstrate our success and agreement on accountability in support of our operations in Provider and Member Services.
Understand the competitive landscape of the department and act as a thought leader for the particular SME the department runs
Work cross functionally with other departments to bring new ideas to life and hold accountable through indirect management
Program management of key company and department strategy initiatives
Own and continuously evaluate financial and performance of the department
Report to Senior Leadership on the health of the business
Drive the budgeting process and the fiscal performance for the team in association with the leadership team
Development and growth of direct reports, ensuring that colleagues are supported in professional development
Compliance with all applicable laws and regulations
Other duties as assigned

Qualifications

10+ years experience in healthcare strategy and operations, and/or related field
6+ years of direct management experience
3+ years experience in leading large-scale cross functional initiatives

Bonus Points

Master’s degree

Clinical licensure
Management Consulting experience with a focus on healthcare
Experience modeling in Excel / Google Sheets
Experience in a growth-stage company

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Notice to Job Applicants.

Oscar Health Glassdoor Company Review

3.2

Oscar Health DE&I Review

No rating

CEO of Oscar Health

Mark Bertolini

Approve of CEO

Average salary estimate

$192930 / YEARLY (est.)

min

max

$156960K

$228900K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Director, Member & Provider Programs, Oscar Health

Hello there! We're excited to announce that Oscar is looking for a talented Director of Member & Provider Program Operations to join our dynamic Member & Provider Programs team. At Oscar, we pride ourselves on being the first health insurance company built around a full stack technology platform, all while keeping our members at the heart of what we do. Since our inception in 2012, we’ve been on a mission to redefine what health insurance can be, acting like a trusted family doctor. As a Director here, your main focus will be on driving the strategic design and implementation of programs that elevate the experience for our members and providers alike. You’ll be shaping our department's overall strategy, ensuring that everything we do enhances our program's value. Leading a talented team, you’ll also be responsible for program effectiveness, ensuring that our initiatives deliver impactful results while fostering a spirit of collaboration across departments. We believe in a blended work culture where connectivity is crucial, whether you’re working from home or commuting to one of our NYC, Tempe, or Los Angeles offices. If you live in any of the specified states, you’ll have the opportunity to bring your vision to life in a role that's both rewarding and flexible. Join us at Oscar, where shaping healthcare is brought to life, and help us create an experience our members love.

Frequently Asked Questions (FAQs) for Director, Member & Provider Programs Role at Oscar Health

What are the key responsibilities of the Director, Member & Provider Programs at Oscar?

The Director, Member & Provider Programs at Oscar plays a crucial role in driving the department's strategy and program design. This includes overseeing program effectiveness and ensuring that the initiatives taken enhance overall program value. You will be responsible for reporting to Senior Leadership on the health of the business and managing the budget alongside the leadership team. Additionally, the role involves collaborating cross-functionally to implement new ideas and opportunities to improve service across the board.