Head of Network Development – Senior Director

This is a fully remote position, open to applicants in Alabama, +15 more locations.

📋 Description

• Lead strategic sourcing of providers to enhance and expand Oscar's payer network.

• Drive the recruitment of non-anchor providers, Essential Community Providers (ECPs), and Federally Qualified Health Centers (FQHCs).

• Support network adequacy standards, enhance patient access, and improve the overall performance of the network.

• Manage incoming requests for provider participation.

• Collaborate with Network Contracting, Network Strategy, and Market Leadership to develop a compliant network that facilitates profitable member growth.

• Report directly to the Senior Vice President of Network & Provider Management.

• Design and execute targeted strategies for network expansion.

• Lead comprehensive recruitment plans for non-anchor practitioners, medical groups, and ECPs/FQHCs.

• Monitor regional provider density and access metrics to identify and address gaps.

• Align provider recruitment objectives with regulatory requirements and growth plans for commercial, ACA, or Medicare.

• Track and manage the velocity of the recruitment pipeline and the productivity of the team.

• Utilize network design analytics to oversee recruitment pipeline throughput and resolve regulatory coverage gaps.

• Build, mentor, and lead a high-performing team of network development professionals, including employees and contractors.

⛳️ Requirements

• Bachelor's degree in Healthcare Administration, Business Administration, Public Health, or a related field.

• Over 12 years of experience in the healthcare industry.

• More than 5 years of progressive leadership experience in provider network development, network operations, or provider recruitment within a health plan, MSO, or health system.

• Experience in engaging and contracting with community health centers, FQHCs, and independent provider groups.

• Proven understanding of CMS and state-level network adequacy requirements along with access-to-care standards.

• Experience in managing workflows across multiple departments including contracting, legal, operations, and market leadership teams.

• Proficient in using network management platforms (e.g., Quest Analytics) and CRM tools to drive recruitment strategies.

• A Master's degree (Master of Health Administration, Master of Public Health, or Master of Business Administration) is a plus.

🏝️ Benefits

• Employee benefits.

• Unlimited vacation program.

• Company equity grants.

• Annual performance bonuses.

• Medical benefits.

• Dental benefits.

• Vision benefits.

• 11 paid holidays.

• Paid sick time.

• Paid parental leave.

• 401(k) plan participation.

• Life insurance.

• Disability insurance.

• Paid wellness time.

• Wellness reimbursements.

• Regular travel for team meetings and company events.