Director, Provider Operations

Oscar Health

Hybrid

Quick summary

Work type
Hybrid
Location
New York, NY
Salary
$163,944–$215,176 / yr
Posted
4 days ago
Nearby
99+ roles within 25 mi

Market check

Salary context

Below market

How this pay compares to similar roles

Similar $224k
This role $190k
$151k most similar roles pay here $288k

This role pays less than 73% of similar roles. Most pay $186,920–$260,198 — the shaded band above. At the midpoint, this role pays about $190k versus about $224k for comparable roles.

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.

Most-posted roles

View all roles at Oscar Health

At a glance

TL;DR · Director, Provider Operations

Role Posting Log in to save

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. This role involves strategic planning, operational oversight, and fostering a culture of continuous improvement within a multi-tiered team. You will collaborate closely with Product, Tech, Markets, and Clinical Operations to design next-generation capabilities that support rapid company growth. Key responsibilities include establishing industry-standard processes, identifying automation opportunities using RPA or AI, ensuring compliance with federal laws and regulatory mandates, and managing large-scale initiatives involving internal and external stakeholders. Ideal candidates have extensive experience in operations, health insurance, data analysis, and process improvement methodologies such as Lean Six Sigma, along with a deep understanding of NCQA credentialing standards and CMS requirements.

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 KPIs Monitoring_Dashboards

What you'll do

  • Provide strategic leadership for provider data lifecycle management, ensuring precise execution of credentialing and contract loading processes.
  • Design and implement scalable, industry-standard processes to support seamless business growth and expansion.
  • Lead diagnostics to identify operational bottlenecks and establish KPIs to proactively address issues.
  • Identify and execute automation opportunities across workflows to reduce manual intervention and human error.
  • Ensure 100% compliance with all state and federal laws, regulatory mandates, and accreditation standards.

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 using data to influence business decisions.

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