Oscar Health: Senior Director, Escalated Provider Issue Resolution — Dallas, Texas, United States

About Oscar Health

Oscar Health is a health-insurance business built around a technology platform and member services. Its recruitment board also describes Oscar Medical Group activities in virtual health assessments and virtual care. Those notices reflect distinct parts of the wider operation: insurance products and member administration alongside clinical services. Technology, insurance operations and care delivery consequently appear in different roles on the board, with the employing team determining the service and professional responsibilities of an individual position.

The position and its setting

Oscar Health lists Senior Director, Escalated Provider Issue Resolution in Dallas, Texas, United States, under reference 8089548. The details below separate the work described by the employer from essential conditions, preferred experience and practical preparation advice.

• Department: Provider Network
• Employer listing date: 28 July 2026

Responsibilities and work described

• The Senior Director, Escalated Provider Issue Resolution team supports strategic provider accounts, high-complexity escalations, root-cause remediation, and provider service governance
• This position will report to the SVP, Network and Provider Management
• Report into the Vice President of Provider Integration & Experience
• Work: Location: This is a remote position, open to candidates who reside in: Dallas, Texas
• Be fully remote; however, our approach to work may adapt over time
• Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote
• Pay Transparency: The base pay for this role is: $196,732 - $258,211 per year
• You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants and annual performance bonuses
• Leadership: and develop a multi-disciplinary provider issue resolution organization, including teams focused on strategic provider support, complex issue resolution, root-cause remediation, and provider service governance
• Building: a scalable operating model for escalated provider issues, including intake standards, triage criteria, escalation pathways, ownership expectations, service metrics, and closure practices
• Oversee resolution of high-impact provider issues that require coordination across multiple operational teams
• Partner with leaders across Claims, Network, Utilization Management, Payment Integrity, Contact Center, Account Management, Technology, and Analytics to improve handoffs, reduce avoidable escalations, and address recurring root causes
• Oversee root-cause remediation by analyzing escalated issue trends, prioritizing fixes based on provider impact and enterprise ROI, and driving cross-functional follow-through on the highest-value operational improvements
• Establishment: closed-loop tracking to ensure identified root causes are addressed, operational fixes are adopted, and improvements reduce recurring provider friction across strategic accounts and the broader provider network
• Create executive-ready reporting on provider issue trends, operational health, risks, blockers, and decisions needed
• Serve as a senior escalation leader for urgent, complex, or high-profile provider issues

Essential requirements and candidate background

• 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
• Understanding: payer operations, including claims, provider data, network operations, reimbursement, utilization management, payment integrity, and provider service workflows
• 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
• Analytical, executive communication, and stakeholder management skills
• Comfort operating in ambiguity and building new functions, teams, and processes
• Quickly understand and operate within new technical systems and workflows

Preferred experience and additional strengths

• Experience standing up or transforming provider service, escalation, claims resolution, issue management, or operational governance functions
• Experience supporting strategic provider relationships, large health systems, or high-profile provider escalations
• Experience: Jira, Salesforce, ServiceNow, Zendesk, or similar workflow management tools
• Experience building dashboards, SLA reporting, operational performance reporting, or issue-resolution analytics
• Advanced Excel, SQL, or data analysis experience
• This is an authentic Oscar Health job opportunity
• Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience
• Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements
• Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts
• California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy

Location, schedule and contract conditions

For this overseas or regional listing, confirm work authorisation and any location restrictions with the employer. The location does not establish visa sponsorship or permission to work remotely from India.

• Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members
• We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family
• Advertised location: Dallas, Texas, United States

Conditions requiring the complete notice

Some passages contain complex or combined conditions that have not been reduced to short eligibility statements here. Read the complete linked notice for those passages, including any alternatives, exceptions or restrictions. The concise facts above should not be treated as the full wording of every condition.

Pay and application dates

A verified salary figure is not established in this article. An online estimate for another Senior Director, Escalated Provider Issue Resolution vacancy is not an offer for reference 8089548; use the employer’s own pay disclosure and recruitment communication.

A closing date is not confirmed in this article. Check the current employer page before submitting: an undated posting can change or be withdrawn.

How to apply to Oscar Health

Applications follow the official employer page linked below.

Open the official Oscar Health posting below and match the title and reference 8089548.

Compare your qualifications and experience with the essential conditions for the Dallas, Texas, United States position, then read the preferred criteria separately.

Prepare an accurate CV and the supporting items requested in that employer’s application. Provide only information and documents you are authorised to share.

Use the employer’s application option, complete the required fields and review the submission. Retain the acknowledgement when one is provided. Job Alerts World does not receive the application.

Practical preparation: SQL

SQL references usually call for more detail than “database knowledge”. Explain the data you queried, the business or engineering question and how you checked that joins, aggregates and filters produced the intended result.

Relevant skills

• SQL
• AI/ML
• Excel
• Salesforce
• ServiceNow
• data analysis
• AI
• compliance
• insurance