Associate, Medical Economics

Title: Associate, Medical Economics

Location: United States

Job Description:

Hi, we're Oscar. We're hiring an Associate - Medical Economics to join our Actuarial team.

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.

About the role:

The Associate, Medical Economics, is part of our Medical Cost Analytics team within the Medical Economics department. You will report to the Associate Director of Medical Economics, and is part of a team that serves as a partner for the VP of Regional Market and is responsible for providing actionable insights through trend monitoring, identification of key market drivers, and evaluation of market-level initiatives. You will partner with market management teams, regional actuaries, and market medical officers to deliver analytical support that inform strategic decision-making to optimize market performance, with the ultimate goal of improving total cost of care and driving affordability value.

You will report into the Associate Director, Medical Economics.

Work Location: 

This position is fully remote and open to candidates residing in the U.S., excluding Alaska; Delaware; Hawaii; Louisiana; Montana; North Dakota; Oklahoma; West Virginia; Wyoming; and U.S. Territories. Daily work is completed from your home office, with occasional travel required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $123,372 - $161,925 per year. The base pay for this role in all other locations is: $111,034 - 145,733 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

• Work under the guidance of the Associate Director, Medical Economics, serving as a and highly engaged analytic partner to drive market performance.
• Analyze regional trends, competitor activities, and industry developments to identify new opportunities and risks.
• Perform in-depth analysis of integrated claims and operational data (medical, pharmacy, lab, auths) to identify cost and trend drivers informing market operations.
• Provide proactive financial guidance on emerging market trends and their potential impact on our financial performance.
• Assess the effectiveness of market-level programs and integrate into the central affordability program.
• Build retrospective studies to measure the actual financial and clinical outcomes of implemented affordability initiatives, comparing results against initial projections.
• Build repeatable analytical processes that scale across market areas.
• Present materials for market finance review meetings and manage follow-up with market leadership
• Develop best practices in analytics, automation, and documentation, contributing to department programs around innovation, AI use, and tooling improvements.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• College degree in a STEM field: e.g. Economics, Actuarial Science, Health Economics, Biostatistics, Health Informatics, Health Services Research.

• 4+ years of quantitative analysis experience.

Bonus points:

• Associate or Fellow of the Society of Actuaries (SOA), or on the track to become one.
• Excellent communication, collaboration, and relationship-building skills.
• Strong understanding of health insurance concepts, data sources, and nuances.
• Proficiency using SQL, R, and/or Python to query, manipulate and analyze data.

This is an authentic Oscar Health job opportunity.

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.

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 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.

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