Director, Provider Operations

Oscar Health

Remote

Quick summary

Work type: Remote
Location: Dallas, TX
Posted: 4 days ago
Nearby: 99+ roles within 25 mi

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Salary context

How this pay compares to similar roles

Similar $223k

$161k most similar roles pay here $287k

This listing doesn't post a salary. Most similar roles pay $186,150–$260,198.

Based on 240 similar postings.

Employer

About Oscar Health

Oscar Health is a technology-driven health insurance company offering individual, family, and small business health plans.

Oscar Health currently has 54 open roles on FindRole.

Listed pay typically runs $135,792–$178,227 across 50 roles with salary data.

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At a glance

TL;DR · Director, Provider Operations

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As the Director of Provider Operations at Oscar, you will lead a high-performing team responsible for scaling and optimizing provider data management, contracting, and credentialing processes. Your day-to-day involves strategic planning, operational oversight, and fostering a culture of continuous improvement within your multi-tiered team. You will collaborate closely with cross-functional partners to design and implement next-generation capabilities that support rapid company growth. Key responsibilities include establishing industry-standard processes, identifying automation opportunities through RPA and AI integrations, ensuring compliance with federal and state regulations, and driving process improvements to optimize costs. Ideal candidates have over 10 years of experience in operations, health insurance, or consulting, along with a strong background in network operations and provider data management. Proficiency in SQL, Lean Six Sigma methodologies, and knowledge of NCQA credentialing standards are highly valued.

Skills

SQL Lean_Six_Sigma RPA AI Data_Analytics MDM Provider_Data_Management NCQA_Credentialing CMS_Standards No_Surprises_Act Service_Oriented_Architecture Process_Improvement_Methodologies Enterprise_Level_Systems KPIs Monitoring_Dashboards

What you'll do

Provide strategic leadership for provider data lifecycle management, ensuring precise execution of credentialing and contract loading.
Lead a high-performing team to design and implement next-generation provider operations capabilities supporting company growth.
Architect scalable processes and data models for seamless scaling of provider data and contracting infrastructure.
Identify and execute automation opportunities across workflows to reduce manual intervention and turnaround times.
Ensure 100% compliance with state, federal laws, regulatory mandates, and accreditation standards in provider operations.

What we're looking for

10+ years of experience in operations, health insurance, data analysis, or consulting.
5+ years of experience building, coaching, and developing operational teams.
Extensive experience with network operations, provider data management, and contracting processes.
Proven ability to design and improve business processes for optimization.
Strong track record of managing large-scale initiatives involving internal and external stakeholders.

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