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Senior Director, Network Adequacy

Remote

Hi, we're Oscar. We're hiring a Senior Director, Network to join our P&L 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 ourselvesā€”one that behaves like a doctor in the family.

About the role

Responsible for operationalizing network adequacy standards and for working across the market P&Ls, legal, regulatory, configuration, credentialing and provider data teams to ensure ongoing compliance with network adequacy requirements.

You will report to the Senior Vice President, P&L.

Work Location:Ā 

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

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.Ā Ā 

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, 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: $192,000 - $252,000 per year. The base pay for this role in all other locations is: $172,800 - $226,800 per year. You are also eligible for employee benefits, participation in Oscarā€™s unlimited vacation program, company equity grants and annual performance bonuses.

Responsibilities

  • Ensure the organization maintains an always-current understanding of Oscarā€™s market-level network strength as measured by state and federal adequacy standards including partnering with internal and external parties for the reporting, data and insights needed to operationalize improvement opportunities with accountable teams
  • Work with respective Market Leadership to ensure they understand the efficiency and effectiveness of their Direct Contracting efforts and opportunities and requirements for improvement against standards
  • Build and lead a matrixed Direct Contracting tiger team ā€¦
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Job Profile

Restrictions

Arizona California Colorado Connecticut Florida Georgia Illinois Iowa Kentucky Maine Maryland Massachusetts Michigan Minnesota Missouri Must reside in one of the following states Must reside in specified states Nevada New Hampshire New Jersey New Mexico New York North Carolina Ohio Oregon Pennsylvania Rhode Island South Carolina Tennessee Texas Utah Vermont Virginia Washington

Benefits/Perks

11 paid holidays Annual performance bonuses Company equity Company equity grants Disability Insurance Employee benefits Equity grants Life and Disability insurance Medical, dental, and vision benefits Paid holidays Paid parental leave Paid sick time Paid wellness time Paid wellness time and reimbursements Performance bonuses Unlimited Vacation Unlimited vacation program Vision Benefits

Tasks
  • Compliance
  • Compliance with all applicable laws and regulations
  • Ensure compliance
  • Ensure compliance with regulations
  • Identify process improvements
  • Implementation
  • Lead cross-functional teams
  • Other duties as assigned
  • Process Improvements
  • Reporting
Skills

C Compliance Contracting Strategies Credentialing Cross-functional Collaboration Data analysis Equity Healthcare Healthcare Compliance Healthcare industry Health Insurance Leadership Process improvements Project Management Provider Management Regulatory standards Reporting Technology Technology Platform

Experience

12 years

Education

Bachelor's Bachelor's degree

Timezones

UTC-5 UTC-7 UTC-8