Remote Associate
at Oscar

Summary

Join Oscar's Clinical Policy team as an Associate, Pharmacy Policy Development to help develop and review policies for our members' high-quality care.

Requirements

• PharmD degree
• Active, unrestricted pharmacist license
• 3+ years of experience with clinical research, policy development, and/or medical writing
• 3+ years of experience reviewing prior authorizations
• 3+ years of experience communicating, both written and verbally, across all levels of stakeholder
• 3+ years of experience using Excel

Responsibilities

• Review, develop, and amend our policies referencing standards of care, third party criteria, and other sources to ensure they support the most up-to-date standards, working in close partnership with our Pharmacy Operations team
• Track edits, amendments, evidence submissions and feedback in accordance with Clinical Policy operational standards
• Track evidence submissions and feedback on policies, and prioritize policy updates
• Develop an in-depth understanding of regulatory and quality requirements applicable to our programs
• Ensure processes and documentation are in place and in compliance with State, Federal and NCQA requirements
• Provide support on regulatory audits and quality accreditation surveys, as needed
• Compliance with all applicable laws and regulations
• Other duties as assigned

Benefits

• 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
• Paid wellness time and reimbursements