Associate, Medical Economics
About The Position
Oscar is seeking an Associate - Medical Economics to join their Actuarial team. This role is part of the Medical Cost Analytics team within the Medical Economics department. The Associate will report to the Associate Director of Medical Economics and will serve as a partner for the VP of Regional Market. The team is responsible for providing actionable insights through trend monitoring, identification of key market drivers, and evaluation of market-level initiatives. The role involves partnering 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.
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.
- Proficiency using SQL, R, and/or Python to query, manipulate and analyze data.
- Strong understanding of health insurance concepts, data sources, and nuances.
Nice To Haves
- Associate or Fellow of the Society of Actuaries (SOA), or on the track to become one.
- Excellent communication, collaboration, and relationship-building skills.
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
Benefits
- medical
- dental
- vision benefits
- 11 paid holidays
- paid sick time
- paid parental leave
- 401(k) plan participation
- life and disability insurance
- paid wellness time and reimbursements
- unlimited vacation program
- annual performance bonuses
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
