Oscar Health Insurance logo
Oscar Health Insurance

Operating on the belief that healthcare is broken, Oscar Health Insurance is on a mission to reinvent and humanize the industry by combining technology, design,

Associate, Medical Economics

Location

United States

Posted

11 days ago

Salary

$111.0K - $145.7K / year

Seniority

Mid Level

No structured requirement data.

Job Description

Associate, Medical Economics

Oscar Health Insurance

Role Description The Associate, Medical Economics, is part of our Medical Cost Analytics team within the Medical Economics department. You will report to the Associate Director of Medical Economics and serve as a partner for the VP of Regional Market, responsible for providing actionable insights through: - Trend monitoring - Identification of key market drivers - Evaluation of market-level initiatives You will partner with market management teams, regional actuaries, and market medical officers to deliver analytical support that informs strategic decision-making to optimize market performance, with the ultimate goal of improving total cost of care and driving affordability value. 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 $111,034 - $145,733 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 the Associate Director, Medical Economics, serving as a highly engaged analytic partner to drive market performance. - Analyze regional trends, competitor activities, and industry developments to identify new opportunities and risks. - Perform in-depth analysis of integrated claims and operational data (medical, pharmacy, lab, auths) to identify cost and trend drivers informing market operations. - Provide proactive financial guidance on emerging market trends and their potential impact on our financial performance. - Assess the effectiveness of market-level programs and integrate into the central affordability program. - Build retrospective studies to measure the actual financial and clinical outcomes of implemented affordability initiatives, comparing results against initial projections. - Build repeatable analytical processes that scale across market areas. - Present materials for market finance review meetings and manage follow-up with market leadership. - Develop best practices in analytics, automation, and documentation, contributing to department programs around innovation, AI use, and tooling improvements. - Compliance with all applicable laws and regulations. - Other duties as assigned. Qualifications - College degree in a STEM field: e.g. Economics, Actuarial Science, Health Economics, Biostatistics, Health Informatics, Health Services Research. - 4+ years of quantitative analysis experience. Requirements - Bonus points: Associate or Fellow of the Society of Actuaries (SOA), or on the track to become one. - Excellent communication, collaboration, and relationship-building skills. - Strong understanding of health insurance concepts, data sources, and nuances. - Proficiency using SQL, R, and/or Python to query, manipulate and analyze data. Benefits - 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.

Related Job Pages

More Principal Jobs

Full TimeRemoteTeam 201-500H1B Sponsor

• Demonstrates superior consulting acumen, deepening and leading client relationships and anticipating client needs and impacts of healthcare landscape changes • Help generate business with new clients and grow business with existing clients • Manage multiple clients and short- and long-term deliverables to ensure that Avalere’s knowledge and expertise are available to meet client needs • Lead and execute quantitative and mixed-methods real world evidence and HEOR studies, including creating protocols and statistical analysis plans, liaising with programmers to translate these documents to programming logic, interpret and convey the business importance of study results, and preparing/presenting through manuscripts, posters, presentations • Present formally and informally the results of research to a diverse group of stakeholders • Develops and executes a range of projects and business development opportunities, including effectively conveying Avalere Health’s capabilities, originating new study concepts through conversations with clients, writing responses to RFPs, vendor selection, and project leadership, including budget and timelines development and accountability • Skilled in real world evidence study methodology and execution, including data knowledge of claims, EHR, and other real world data sources, study design and epidemiological methods, descriptive and adjusted modelling techniques, and the ability to lead highly matrixed team environment • Building integrated RWE generation and communication plans in close collaboration within and across Avalere and Avalere Health

District Of Columbia
$195K - $215K / year
Part TimeRemoteTeam 11-50H1B No Sponsor

• Review patient charts, medications, labs, and care plans • Coordinate care with providers, nursing staff, pharmacies, and families when needed • Document patient interactions accurately and thoroughly • Identify changes in condition and escalate concerns appropriately • Assist with chronic disease management and patient education • Ensure PCM services are completed in compliance with CMS guidelines

United States
Part TimeRemoteTeam 11-50H1B No Sponsor

• Review patient charts, medications, labs, and care plans • Coordinate care with providers, nursing staff, pharmacies, and families when needed • Document patient interactions accurately and thoroughly • Identify changes in condition and escalate concerns appropriately • Assist with chronic disease management and patient education • Ensure PCM services are completed in compliance with CMS guidelines

United States
Principal12 days ago
Part TimeRemoteTeam 11-50H1B No Sponsor

• Review patient charts, medications, labs, and care plans • Coordinate care with providers, nursing staff, pharmacies, and families when needed • Document patient interactions accurately and thoroughly • Identify changes in condition and escalate concerns appropriately • Assist with chronic disease management and patient education • Ensure PCM services are completed in compliance with CMS guidelines

United States