Hi, we're Oscar. We're hiring a Senior Director, Medical Cost Analytics to join our Actuarial team.
Oscar is the first health insurance company built around a full stack technology platform and a 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 Director, Medical Cost Analytics (MCA), plays an instrumental role in Oscar’s medical economics operating model, oversees and guides a team of analytically-minded professionals (e.g. actuaries, data scientists, statisticians) to guide next steps to support Oscar’s total cost of care (TCoC) strategy and efforts, and owns the architectural design of the trend management ecosystem from a toolkit perspective. As this role is important to ensuring Oscar’s future growth plan, the Senior Director, MCA, in collaboration with analytical leads across the forecasting, pricing, and network analytic units will be accountable to delivering business and operational solutions in response to developing trends within Oscar’s use base. This leadership position makes critical strategic decisions, has ownership of financial estimates, and communicates the findings to the Executive Leadership Committee.
You will report to the VP, Actuarial.
Work Location:
Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.
If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.
You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote
Pay Transparency:
The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $211,200 - $277,200 per year. The base pay for this role in all other locations is: $190,080 - $249,480 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants and annual performance bonuses.
Responsibilities
- Build decision-making responsibilities related to methodological process, tool design, model enhancements, and prioritization of programs focused on Total Cost of Care (TCoC).
- Lead the design and execution of multi-faceted analytics projects.
- Establish KPIs and success metrics across the MCA roadmap that ensures the appropriate design and evolution of Oscar’s approach to trend and affordability management.
- Lead the MCA department encouraging a collaborative culture.
- Provide mentorship, and development planning for team members to promote growth and learning across MCA.
- Stay current with market trends, new technologies, and best practices within the healthcare analytics space to ensure that the MCA team remains on the the latest of innovation.
- Develop relationships and communication with important cross-functional stakeholders across the operational teams — e.g. Payment Integrity, Utilization Management.
- Compliance with all applicable laws and regulations
- Other duties as assigned.
Qualifications
- 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.
Bonus Points
- Familiarity with ACA-specific healthcare laws, regulations, and compliance requirements.
- Fellow of the Society of Actuaries (SOA), or on the track to become one.
