Associate, Medical Economics
About The Position
The Associate, Medical Economics, is part of our Medical Cost Analytics team within the Medical Economics department. The Associate reports to the Senior Director, Medical Economics, and is part of a team that analyzes medical costs to understand trend drivers, project financial outcomes, monitor programs, and identify cost savings opportunities. You will partner with Medical Economics leadership, Data Science, Finance, Payment Integrity, and other analytic support responsibilities to ensure accurate projections are reflected in management reporting. You will report into the Senior Director, Medical Economics.
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 using SQL.
- Demonstrable track record of building analytics that drive business decisions and actions.
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 Senior Director, Medical Economics.
- Maintain sophisticated models to forecast the financial impact of proposed changes to clinical and payment policies.
- Conduct sensitivity analyses and stress testing on models to understand the range of potential outcomes under multiple utilization and cost scenarios.
- Develop knowledge of industry best practices and work to drive innovation.
- Perform in-depth analysis of integrated claims and operational data (medical, pharmacy, lab, auths) to identify cost and trend drivers.
- Provide proactive financial guidance on latest clinical trends and their potential impact on our financial performance.
- Accomplish retrospective studies to measure the actual financial and clinical outcomes of implemented policies, comparing results against initial projections.
- Build repeatable analytic processes that scale across programs.
- Create executive-ready visualizations tailored to different stakeholder audiences (clinical vs. financial).
- Promote and shape Oscar best practices concerning automation and documentation.
- Contribute to department initiatives around automation, AI use, and tooling improvements.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Benefits
- employee benefits
- participation in Oscar's unlimited vacation program
- annual performance bonuses
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
1,001-5,000 employees
