Director, Provider Operations
Software Development
Excel
WFA Digital Insight
As the demand for efficient healthcare operations grows, companies like Oscar Health are looking for skilled professionals to lead their teams. With a 25% increase in remote healthcare jobs in 2025, this role is an exciting opportunity for those with a background in operations and health insurance. With the need for seamless provider data management, candidates with strong Excel skills and experience in network operations are in high demand. Before applying, it's essential to understand the current state of the healthcare industry and the role's requirements, including 10+ years of experience in operations and a bachelor's degree.
Job Description
About the Role
The Director of Provider Operations at Oscar Health will play a crucial role in building, scaling, and optimizing the company's provider data management, contracting, and credentialing processes. This position requires a strategic leader who can set the vision and strategy for provider operations and data functions, designing processes that improve Oscar's capabilities in serving members and providers. The Director will be responsible for leading a high-performing team of managers and individual contributors, fostering a culture of continuous learning, accountability, and psychological safety. The role will involve working closely with partners and stakeholders cross-functionally to take ideas from vision to implementation, ensuring that all operational processes and internal tools are highly extensible, efficient, and integrated with modern technology stacks. The Director will report to the Vice President, Network Operations, and will be responsible for establishing clear organizational structure, governance, and support systems that empower the team to execute key strategic initiatives. As a leader in the healthcare industry, Oscar Health is committed to creating a seamless experience for its members and providers. The Director of Provider Operations will be essential in driving this mission forward, ensuring that the company's provider data management and contracting processes are optimized for efficiency and effectiveness.What You Will Do
- Develop and execute the strategic vision for provider operations and data functions, aligning with the company's overall goals and objectives
- Lead, coach, and develop a high-performing team of managers and individual contributors, fostering a culture of continuous learning, accountability, and psychological safety
- Establish clear organizational structure, governance, and support systems that shield the team from distractions and empower them to execute key strategic initiatives
- Collaborate with partners and stakeholders cross-functionally to design, build, and deliver next-generation provider operations capabilities that support aggressive company growth and market expansion targets
- Architect and implement foundational, industry-standard processes and data models that allow the provider data and contracting infrastructure to scale seamlessly alongside the business
- Champion the adoption of industry best practices to ensure all operational processes and internal tools are highly extensible, efficient, and integrated with modern technology stacks
- Lead the team in surface-level and deep-dive diagnostics to identify data, process, and technology bottlenecks
- Establish robust KPIs and monitoring dashboards to proactively flag operational issues, leveraging these insights to maintain the company's standing as a leading health plan
- Identify and execute opportunities for automation across mature, stable workflows to replace manual intervention, reduce turnaround times, and eliminate human error
- Drive administrative expense savings and optimize total cost of care by identifying and executing on process improvements, technical tooling investments, offshore resource optimization, and strategic vendor partnerships
What We Are Looking For
- A bachelor's degree or 5+ years of operating experience
- 10+ years of work experience in operations, health insurance, data analysis, and/or consulting
- 5+ years of experience building, coaching, and developing operational teams
- 5+ years of experience with network operations
- Strong Excel skills and experience with data analysis and management
- Experience with process improvement and operational excellence
- Strong leadership and management skills, with the ability to foster a culture of continuous learning, accountability, and psychological safety
- Excellent communication and collaboration skills, with the ability to work cross-functionally with partners and stakeholders
- Experience with industry best practices and standards, including regulatory requirements and accreditation standards
Nice to Have
- Experience with automation technologies, such as RPA or AI integrations
- Knowledge of healthcare industry trends and developments
- Experience with project management and implementation
- Certification in a related field, such as operations or healthcare management
- Experience with data visualization and reporting tools
Benefits and Perks
- Competitive salary and benefits package
- Opportunity to work with a leading healthcare company
- Collaborative and dynamic work environment
- Professional development and growth opportunities
- Flexible and remote work arrangements
- Access to cutting-edge technology and tools
- Comprehensive health insurance and wellness programs
- Retirement savings and planning options
- Paid time off and holidays
- Employee recognition and reward programs
- Opportunities for career advancement and promotion
How to Stand Out
- Develop a strong understanding of the healthcare industry and the role of provider operations in delivering seamless experiences for members and providers.
- Showcase your experience with Excel and data analysis, highlighting your ability to drive insights and inform business decisions.
- Emphasize your leadership and management skills, including your ability to foster a culture of continuous learning, accountability, and psychological safety.
- Be prepared to discuss your experience with process improvement and operational excellence, including your ability to identify and execute opportunities for automation and efficiency.
- Research Oscar Health and its mission, values, and culture to demonstrate your passion for the company and the role.
- Prepare examples of your experience with data visualization and reporting tools, as well as your ability to communicate complex data insights to stakeholders.
- Review the company's benefits and perks, including its flexible and remote work arrangements, to understand the total compensation package and what it means for your career and well-being.
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