Remote Medical Director

Summary

Join Oscar's CRT Physician Reviewer team as a Medical Director, overseeing workforce management and collaborating with business units to ensure efficient management and adherence to quality standards.

Requirements

• Board certified or eligible MD or DO with a current unrestricted license to practice medicine in the US
• 10+ years of experience in the healthcare industry
• 3+ years of clinical practice with specialization in one of the following fields: internal medicine, family medicine, general surgery, emergency medicine (other fields will be considered)
• 3+ years of utilization review experience in a managed care plan (health care industry)
• 3+ years of leadership experience as a people manager

Responsibilities

• Oversee workforce management to ensure timely medical reviews that meet Oscar’s stringent quality parameters
• Partner with Senior Medical Director on the strategy & execution of a best-in-class Utilization Management program, in particular development of programs and initiatives that optimize the quality and cost of care
• Serve as the clinical liaison pertaining to Oscar’s Utilization Management program for clinical business operations, and other business units
• Manage direct reports, oversee their performance, and develop strategy for the professional development of physician reviewers
• Collaborate with other departments on Utilization Management Operations
• Lead key projects and drive initiatives to successful completion
• 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