Senior Analyst, Medical Economics

Hi, we're Oscar. We're hiring a Senior Analyst, 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 Senior Analyst, Medical Economics is part of our Medical Economics department. You will analyze medical costs to understand the cause of trend drivers, measuring and projecting financial outcomes of initiatives, monitoring programs, and identifying and quantifying cost savings opportunities. You will partner with Medical Economics leadership and other analytic teams to lead initiatives. These initiatives will support Oscar's Total Cost of Care (TCoC) goals, and you will also collaborate with clinical leadership and business leaders in the market management or functional areas.

You will report into the Senior Director, Medical Economics.

Work Location

This is a remote position, open to candidates who reside in: Dallas, TX. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area.

Pay Transparency

The base pay for this role is: $91,659 - $120,303 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 a manager or director in the medical economics department.

Perform complex analytical projects to research use and unit cost medical cost drivers.

Develop and deliver detailed reports, presentations, and dashboards that distill complex medical economics insights for team members, project teams, and team leaders.

Participate in discussions and presentations with market management leadership, market medical officers, and Medical Economics leadership about medical cost drivers and cost mitigation opportunities.

Develop relationships with operational leaders across important teams (e.g., Market Management, Affordability, Network, Payment Integrity, Clinical).

Develop knowledge of industry best practices and work to guide innovation.

Contribute to department programs around automation, AI use, documentation, 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.

3+ years of relevant quantitative analysis experience.

Bonus Points

Associate or Fellow of the Society of Actuaries (SOA), or on the track to become one.

Strong understanding of health insurance concepts, data sources, and nuances.

Demonstrated knowledge of managed care and how provider reimbursement policies relate to the control of medical claims costs.

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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.

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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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