Oscar is an AI operations analyst that watches every location 24/7, catching revenue leaks, labor inefficiencies, and compliance risks, then delivering the alerts, reports, and action plans your team needs to fix them fast. Backed by Techstars.
About the role
The Vice President of Provider Integration and Experience is responsible for driving the overall provider experience strategy, designing operational solutions, and leading the enterprise operating model for escalated provider issue resolution. This position owns the provider journey, developing and executing cross-functional roadmaps to proactively reduce friction while overseeing a world-class, multi-disciplinary escalation management organization. Found on 1752vc Careers, the job board for startup and VC roles.
What they're looking for
- A bachelor's degree or commensurate 4 years of experience
- 15+ years of professional experience in healthcare operations, payer operations, network operations, strategic planning, healthcare consulting, or provider relations
- 7+ years of experience collaborating, influencing, and driving strategic alignment at the executive level (SVP, EVP, and C-Suite)
- 7+ years of direct senior leadership experience, specifically 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
More about this role
Hi, we're Oscar. We're hiring a VP, Provider Integration & Experience to join our Provider Operations & Experience Team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless 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.
The Vice President of Provider Integration and Experience is responsible for driving the overall provider experience strategy, designing operational solutions, and leading the enterprise operating model for escalated provider issue resolution. This position owns the provider journey, developing and executing cross-functional roadmaps to proactively reduce friction while overseeing a world-class, multi-disciplinary escalation management organization.
Reporting directly to executive leadership, this role serves as the principal advocate for providers serving Oscar members. By partnering closely with senior leaders across Claims, Network, Utilization Management, Payment Integrity, Contact Center, Clinical Services and Technology, the Vice President will translate data-driven insights...
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