Vice President, Provider Integration & Experience Greater New York City, NY Area

The Company is seeking a Vice President of Provider Integration & Experience to shape provider experience strategy and lead the operating model for resolving complex provider issues. The role owns the provider journey, develops cross-functional roadmaps to reduce friction, and oversees a multidisciplinary escalation management function. The successful candidate will use operational data and analytics to identify root causes, drive lasting improvements, and strengthen provider relationships. Responsibilities also include coordinating dispute resolution, leading organizational change, and delivering executive-level reporting and recommendations. Candidates should have a bachelor’s degree or equivalent experience, at least 15 years of relevant healthcare operations or related experience, and seven or more years each of executive-level collaboration and senior leadership. Deep knowledge of payer operations—including claims, provider data, reimbursement, utilization management, payment integrity, and provider relations—is required, along with experience building operational models, service-level frameworks, and governance structures. A relevant master’s degree, experience scaling provider relations or escalation functions, and familiarity with enterprise workflow and analytics tools are advantageous.

Hiring Company

Oscar Health