VP, Market Management (Central Market)

Oscar Health is a health insurance company built around a full stack technology platform, and they are seeking a VP, Market Management to lead market-level strategies and deliver sustainable profitable growth. This role involves managing key relationships, overseeing performance metrics, and working with various internal teams to optimize market economics.

Responsibilities:

• Serve as the primary point of accountability for establishing and attaining market-level performance metrics, including growth, financial, and quality metrics
• Partner with internal strategy teams to identify and surface unmet market-level consumer needs and assist in the planning and rollout of new products
• Shape, maintain and oversee the long-term business and expansion strategy and related operating plans for your market(s)
• Working with finance, data, and actuarial partners, develop a working command over market-level utilization and cost dynamics to quickly identify any deviations from expectations, and potential mitigants
• Serve as a senior ambassador across the company and externally within the community for Oscar’s commercial interests including interaction with state regulators
• Partner with Clinical leadership to ensure value-balanced decision making and to establish the culture and initiatives required to achieve market-level quality performance targets
• Partner with the Growth team on the development and attainment of membership, retention, and revenue targets and initiatives to accomplish them
• Partner with Network leadership on setting provider contracting and operations priorities required for local market success
• Contribute as a member of the Market Oscar Insurance Leadership team and as a senior leader within Oscar to bring the perspective of local to our strategy development and decision making
• Develop and maintain relationships with strategic hospital and provider systems and oversee transactions within your market
• Ensure a high standard of excellence and compliance, including network adequacy, for the operations within your market
• Attract and retain top talent
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• 15+ years of experience
• 10+ healthcare industry experience including P&L responsibility
• 10+ years of leadership experience, leading and developing high performing teams
• 10+ years provider-facing experience
• An MBA or other professional degree from a top-tier program with a clear track record of excellence
• Experience with growth-stage enterprises and scaling departments and processes