Oscar Health

Senior Director, Escalated Provider Issue Resolution

Georgia: eligible, according to the employer's posting.
Who can apply: Only open to applicants in: Georgia.
Location as listed by the employer: “Atlanta, Georgia, United States; New York, NY”
Apply on Oscar Health's site ↗

Opens the employer's official application page.

Generate a CV for this job

A CV tailored to this job's requirements in one click — boosted with testimonials from people who know your work.

Generate my CV

About this role

Oscar Health is hiring for a Senior Director, Escalated Provider Issue Resolution role. See the official posting for full details.

Requirements

  • 12+ years of experience in healthcare operations, provider operations, payer operations, claims operations, network operations, provider relations, or a related field.
  • 7+ years of senior leadership experience, including experience leading managers or multi-team operational functions.
  • Experience leading complex issue resolution, escalation management, operational transformation, or service model design in a healthcare environment.
  • Strong understanding of payer operations, including claims, provider data, network operations, reimbursement, utilization management, payment integrity, and provider service workflows.
  • Proven ability to build operating models, governance routines, performance metrics, and accountability mechanisms across multiple teams.
  • Experience leading change management and adoption for new operating models across cross-functional teams.
  • Strong analytical, executive communication, and stakeholder management skills.
  • Comfort operating in ambiguity and building new functions, teams, and processes.

Summarized from the employer's posting — check the full posting for every requirement.