Director, Medical Economics

<p>Hi, we're Oscar. We're hiring a Director, Medical Economics to join our Actuarial team.</p> <p>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.</p> <p><strong>About the role:</strong></p> <p>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.</p> <p>You will report to the Senior Director, Medical Cost Analytics.</p> <p><strong>Work Location: </strong>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. #LI-Remote<strong><br></strong></p> <p><strong>Pay Transparency: </strong>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.</p> <p><strong>Responsibilities:</strong></p> <ul> <li><strong>Trend Management Accountability & Partnership: </strong>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.</li> <li><strong>Proactive Opportunity Identification: </strong>Lead the proactive identification, sizing, and root-cause analysis of medical cost and utilization anomalies ("flares") and identification of affordability opportunities within assigned regions.</li> <li><strong>Executive Communication: </strong>Present comprehensive, executive-ready analytics and materials</li> &lt