Director, Medical Economics

Hi were Oscar. Were hiring a Director Medical Economics to join our Medical Economics.

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 ourselvesone that behaves like a doctor in the family.

About the role :

The Director Medical Economics plays an instrumental role in Oscars medical economics operating model. You will be the lead architect and developer of our next generation of analytic tools. This role is for a hands-on technical expert who will personally develop a unified reporting suite to lead Oscars Medical Economics program providing transparent relevant insights into medical cost and utilization drivers. You will be a project lead collaborating with leaders across the Medical Economics team to incorporate their analytic content into the unified reporting suite. You will lead the departments engagement with partners in the data science team to deliver the foundational datasets and infrastructure upon which the reporting suite will be built.

You will report to the Senior Director Medical Cost Analytics.

Work Location :

This is a remote position open to candidates who reside in : Atlanta GA. You will 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 : $172800 - $226800 per year. You are also eligible for employee benefits participation in Oscars unlimited vacation program company equity grants and annual performance bonuses.

Responsibilities :

• Perform hands-on development while providing direction guidance and requirements to supporting matrixed resources from other analytic and tech teams.
• Oversee decision-making responsibilities related to the technical design of a unified suite of medical economics reporting and analytic tooling that will be used to lead Oscars Total Cost of Care (TCoC) efforts.
• Partner with Medical Economics leaders to create a multi-year roadmap for the tooling suite including creation of a governance process for designing content and analytic methodologies.
• Develop automated dashboards and reports that decompose medical cost trends highlighting important causes such as unit cost utilization mix of services provider network changes.
• Be the subject matter expert on Oscars medical claims data and incorporate key healthcare methodologies (e.g. risk adjustment episode groupers case-mix adjustment) into the tooling suite.
• Ensure the tooling suite is designed to include generative AI for insight generation.
• Be the internal consultant introducing and applying techniques (e.g. predictive modeling statistical analysis machine learning) to enhance the sophistication and predictive power of our tooling suite.
• Be the senior mentor and technical guide for analysts across the medical economics team elevating the teams skills by promoting best practices in analytics and BI development.
• Develop relationships and lines of communication with main partners across the operational departments.
• Represent the medical economics function in cross-departmental forums contributing to strategic planning.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements :

Bonus points :

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here .

At Oscar being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. Were on a mission to change health care an experience made whole by our unique backgrounds and perspectives.

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.

Reasonable Accommodation : Oscar applicants are considered solely based on their qualifications without regard to applicants disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known.

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 .

Required Experience :

Director

Key Skills

EMR Systems,Post Residency Experience,Occupational Health Experience,Clinical Research,Managed Care,Primary Care Experience,Medical Management,Utilization Management,Clinical Development,Clinical Trials,Leadership Experience,Medicare

Employment Type : Full-Time

Experience : years

Vacancy : 1

Yearly Salary Salary : 172800 - 226800