Hi, we're Oscar. We're hiring a Senior Director, Medical Economics to join our Actuarial team.
Oscar is the first health insurance company built around a full stack technology platform and a 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.
About the role
The Senior Director, Medical Economics, plays an instrumental role in Oscar’s medical economics operating model, influences and guides a team of professionals (e.g. actuaries, data scientists, statisticians) to guide next steps to support Oscar’s total cost of care (TCoC) strategy and efforts. As an important driver of process excellence within the organization, the Senior Director collaborates with analytical leads across forecasting, medical cost analytics, pricing, and network analytics units to improve workflows, improve operational efficiency, and ensure agreement on our strategic goals. Beyond analytical leadership, you will craft high impact content, such as executive-level medical economics reporting and presentations, designed to inform and engage senior leadership on important trends, strategies, and financial impacts.
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You will report to the Vice President, Actuarial.
Work Location:
Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.
If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.
You must reside in one of the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote
Pay Transparency:
The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $211,200 - $277,200 per year. The base pay for this role in all other locations is: $190,080 - $249,480 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program, company equity grants and annual performance bonuses.
Responsibilities
- Manage decision-making responsibilities related to methodological process, tool design, model enhancements, and prioritization of programs focused on Total Cost of Care (TCoC).
- Create executive-level reports, presentations, and dashboards that distill complex medical economics insights into accessible and impactful content for senior leadership.
- Design, implement, and improve processes for medical economics reporting, ensuring understanding of corporate goals and partner needs.
- Lead the design and execution of multi-faceted analytics projects.
- Provide mentorship, and development planning for team members to promote continuous growth and learning across the medical economics organization.
- Develop relationships, relationship, and lines of communication with main partners across the operational departments — e.g. Payment Integrity, Utilization Management, Pharmacy.
- Represent the medical economics function in cross-departmental and executive forums, contributing to strategic planning.
- Compliance with all applicable laws and regulations
- Other duties as assigned.
Qualifications
- Bachelor’s degree in a STEM field, or 4 years commensurate experience.
- 12+ years of quantitative analysis in the healthcare industry.
- 5+ years of collaborating and influencing the Executive Leadership Committee.
- Experience with medical economics, corporate strategy, or a related analytics-driven leadership role.
Bonus Points
- Excellent communication, collaboration, and relationship-building skills.
- Strong process management skills, with experience streamlining workflows and driving operational efficiency.
- Collaborative and influential leadership style, with experience working across multiple teams and stakeholders.
- Strong familiarity with ACA-specific healthcare laws, regulations, and compliance requirements.
- Fellow of the Society of Actuaries (SOA), or on the track to become one.
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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. We're 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.
Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) 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 Notice to Job Applicants.