Oscar Health Insurance Co

Associate, Medical Economics

Oscar Health Insurance Co$111K — $145K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in STEM (e.g., Economics, Actuarial Science, Health Economics)
  • 4+ years of quantitative analysis experience
  • Strong understanding of health insurance concepts and data sources
  • Proficiency in SQL, R, and/or Python for data analysis
  • Excellent communication and collaboration skills

Responsibilities

  • Collaborate closely with the Associate Director to drive market performance insights
  • Analyze regional trends and competitor activities to spot new opportunities and risks
  • Conduct in-depth analysis of claims and operational data to identify cost drivers
  • Offer financial guidance on market trends impacting financial performance
  • Evaluate market-level programs and integrate findings into affordability initiatives
  • Conduct retrospective studies comparing financial and clinical outcomes
  • Develop scalable analytical processes for various market areas
  • Present analysis in finance review meetings and follow up with market leadership
  • Contribute to best practices in analytics, automation, and AI tooling improvements

Benefits

  • Medical, dental, and vision benefits
  • 11 paid holidays and paid sick time
  • Paid parental leave
  • 401(k) plan participation
  • Life and disability insurance
  • Wellness time and reimbursements
  • Unlimited vacation policy and annual performance bonuses
Full Job Description
Hi, we're Oscar. We're hiring an Associate - Medical Economics to join our Actuarial team.

About the role:

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 is part of a team that serves as a partner for the VP of Regional Market and is responsible for providing actionable insights through trend monitoring, identification of key market drivers, and evaluation of market-level initiatives. You will partner with market management teams, regional actuaries, and market medical officers to deliver analytical support that inform strategic decision-making to optimize market performance, with the ultimate goal of improving total cost of care and driving affordability value.

You will report into the Associate 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. #LI-Remote

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 and 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

Requirements:
  • 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.

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.


This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

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.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

About Oscar Health Insurance Co

Oscar Health Insurance Co. is a technology-driven health insurance company founded in 2012 and headquartered in New York City. The company offers individual and family health insurance plans, as well as Medicare Advantage plans. Oscar Health Insurance Co. uses technology to simplify the health insurance experience for its customers, including a mobile app that allows customers to manage their health insurance policies and access telemedicine services. The company has raised over $1 billion in funding and is valued at over $5 billion.
Learn more about Oscar Health Insurance Co
Size
4,000 employees
Market Cap
$466 million
Industry
Founded
2012
NASDAQ

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