Role Description The Director, Medical Economics, plays an instrumental role in Oscar's medical economics operating model, serving as a dedicated, proactive financial and analytic partner to a Market Vice President. You will be the point person accountable for supporting trend management and achieving market affordability targets. Rather than just tracking data, you will identify, size, and diagnose medical cost and utilization drivers, translating data into action. You will work as a strategic "quarterback," to triage deep-dive analytics to centralized analytic teams such as network performance, forecasting, and data science when appropriate, while maintaining deep understanding and ownership over your markets' context, goals, and results. You will manage your team to contribute analyses, reports, and dashboards to the medical economics tooling suite, building to meet market level needs in a way that is standardized, repeatable and re-usable across markets. You will report to the Senior Director, Medical Cost Analytics. Work Location: This is a remote position, open to candidates who reside in: Atlanta, GA. 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. #LI-Remote Pay Transparency: The base pay for this role is: $178,848 - $234,738 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants and annual performance bonuses. Responsibilities - Trend Management Accountability & Partnership: - Partner with regional Market teams, regional actuaries, and market medical officers to co-lead regional trend management and drive total cost of care reduction strategies. - Proactive Opportunity Identification: - Lead the proactive identification, sizing, and root-cause analysis of medical cost and utilization anomalies ("flares") and identification of affordability opportunities within assigned regions. - Executive Communication: - Present comprehensive, executive-ready analytics and materials. - Team Leadership: - Mentor analysts in developing both analytic expertise and "soft skills," specifically regarding business writing, data visualization, and partner influence. - Analytic Quarterbacking: - Act as a primary gateway and triage point for your market team's medical economics requests, effectively routing complex requests to centralized analytic teams such as network performance, forecasting, and data science when appropriate, while managing end-to-end follow-up with market leadership. - Affordability Integration: - Connect local market programs and emerging cost flares into Oscar's centralized affordability framework and governance programs. - Playbook Development: - Collaborate with central affordability and local market teams to develop localized trend management strategies. - Shared Tooling & Innovation: - Contribute to the department's core tooling strategy by building analytics tailored to specific market needs with an eye toward scaling them into national solutions via our internal tooling program. - Develop best practices in analytics, automation, and documentation, contributing to department programs around innovation, and tooling improvements. - Improve adoption of generative AI tools to improve team effectiveness. - Enablement & Self-Service: - Provide support and training to market leadership teams to ensure self-service utilization of medical economics reports & tooling. - Cross-Pollination: - Promote operational efficiency and shared learning by actively sharing successful tactics, playbooks, and localized analytic tools across different regional markets. - Compliance with all applicable laws and regulations. - Other duties as assigned. Qualifications - Bachelor's degree in a STEM field, or 4 years commensurate experience. - 10+ years of quantitative analysis in the healthcare industry. - Experience with medical economics, corporate strategy, or a related analytics-driven leadership role. - Experience with health insurance / payer analytics, with an understanding of medical claims data (e.g., CPT/HCPCS, ICD-10, DRGs) and standard healthcare industry data sources. Bonus Points - Business writing and storytelling skills; ability to simplify complex actuarial concepts for executive audiences. - Familiarity with ACA-specific healthcare dynamics and how they impact external financial reporting. - Fellow of the Society of Actuaries (SOA), or on the track to become one. 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.

• Lead strategic client accounts for brands navigating one of the most regulated and relationship-driven industries in marketing. • Own the strategy across your portfolio — connecting paid, owned, and earned channels to business outcomes that matter: patient acquisition, lead volume, compliance, and growth. • Lead cross-functional teams with confidence, serving as a trusted marketing partner to your clients. • Bring healthcare-specific context to differentiate recommendations and advice that clients act on. • Help drive performance through integrated marketing tactics across paid, owned, and earned channels. • Guide clients on how marketing tactics can support business goals and outcomes. • Collaborate with internal teams to support service expansions, contribute to developing and testing roadmaps, and guide tactical pivots when necessary.

• Support delivery of high-profile, technical projects in community healthcare • Provide financial leadership and guidance to clients • Ensure accuracy of financial reports and project documentation • Build relationships with senior executive management and key resources • Analyze healthcare utilization and costs for improvement opportunities • Manage multiple client engagements simultaneously • Communicate complex financial information effectively • Conduct thorough investigations and present clear recommendations • Prepare and present financial reports to senior management

Role Description Sunitna River is looking to hire an experienced Issue Resolution Specialist / Account Coordinator Hybrid. The position entails performing responsibilities of both an Issue Resolution Specialist and an Account Coordinator. The Issue Resolution Specialist manages the Defense Health Agency’s (DHA) issue resolution process at assigned Military Treatment Facilities (MTF) in support of the Department of Defense (DoD) Electronic Health Record (EHR), to include system, content and configuration changes, scheduled and unscheduled service interruptions, and updates impacting end users. Account Coordinators are responsible for managing the MHS GENESIS account provisioning process at assigned Military Treatment Facilities. - Assist end users with following enterprise system configuration change request and service interruption reporting standard operating procedures. - Assess, monitor, and report status of EHR helpdesk tickets, taking appropriate actions when necessary. - Coordinate local resolution efforts with Account Coordinators, EHR Trainers, Information Technology staff, etc., when appropriate. - Manage training rosters, user role assignments, and load provider credentials. - Track and facilitate action items related to system block upgrades and sustainment. - Submit tickets to initiate MHS GENESIS account creation and provisioning for end users. - Manage domain access, privileges and verify end user roles and clinic responsibilities to ensure correct roles assignment for MHS GENESIS. - Troubleshoot end user role issues and identify any role adjustments. - Submit Global Service Center (GSC) tickets to initiate, modify, suspend, reactivate, and enable end user accounts. - Collaborate with Training Site Lead and Issue Resolution Specialists to ensure end user roles and accounts are operating as designed. - Collaborate with other Account Coordinators and personnel working on MHS GENESIS related issues at other MTFs within the DHA enterprise. - Provide support to Military Treatment Facilities (MTFs) outside the primary region, if needed, as directed by the Regional Project Manager. - Assist in both Account Coordinator and Issue Resolution Specialist capacity when a site needs surge support. - Provide direct technical support and guidance to sustainment personnel and client as needed. - Participate in working groups, as requested, as technical experts. - Work closely with the Regional Project Managers and Senior Managers to ensure team success. Qualifications - Prior experience with analyzing business processes and information management needs of medical organizations. - Knowledge of marketing research and BPR methodologies, analysis, theory, and application and strong interpersonal skills. - Knowledge of activity-based costing principles and knowledge of functional economic analysis to assess several alternatives. - Knowledge of various specialized areas of health care management. - Preferred experience in supporting Clinical Information Systems (CIS) training, tools, software installs and upgrades, preparing classrooms, facilities, and necessary equipment for classes or supporting EHR efforts. - Knowledge of the workings of a hospital technical system. - Must maintain an appropriate degree of knowledge, skill, and ability to provide functional support and perform system status checks as needed during trouble ticket resolution. - Personnel must be fluent in verbal and written communications (English) and medical terminology. - US Citizenship Required - Candidate will need to obtain a DoD Public Trust Clearance. Benefits - 401(K) Plan with Employer Match - Health Insurance (medical, dental, and vision) - Paid PTO - Flexible Spending Accounts (Health and Dependent Care) - Life insurance - Short term and long-term disability - Full Holiday Schedule and more