Senior Director, Medical Economics

Summary

Join Oscar as a Senior Director, Medical Economics and play an instrumental role in shaping our medical economics operating model. You will lead a team of professionals, guide strategic initiatives related to total cost of care (TCoC), and collaborate with various analytical units to enhance workflows and operational efficiency. This role involves creating impactful executive-level reports and presentations, fostering strong relationships with key partners, and representing medical economics in cross-departmental forums. The position offers a blended work culture with remote options and a competitive salary and benefits package. You will report to the Vice President, Actuarial. The role requires significant experience in quantitative analysis within the healthcare industry and strong leadership skills.

Requirements

• 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

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

Preferred Qualifications

• 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

Benefits

• Employee benefits
• Participation in Oscar’s unlimited vacation program
• Company equity grants
• Annual performance bonuses
• 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