Manager, Strategic Value & Investment Analysis

Oscar Health•Tempe, AZ

15h•Hybrid

About The Position

You will be heavily embedded in the financial oversight of the UM Strategy team. You are responsible for quantifying and communicating the financial impact of all UM initiatives. Your core goal is to ensure that strategic investments translate into measurable, defensible affordability outcomes. You will serve as the primary liaison between the UM business unit and the Medical Economics/Finance departments to ensure all investments are accurately sized and tracked. You will report into the Director, UM Authorization Strategy.

Requirements

4+ years of experience of experience in management consulting, financial strategic analysis, or healthcare corporate strategy.
3+ years of experience in delivering projects / programs
Strong understanding of the ACA (Individual/Small Group) business model, including how UM impacts Risk Adjustment and Medical Loss Ratio (MLR).
3+ years of expertise in financial modeling, business case development, and cost-benefit analysis.
Healthcare experience (Health Insurance, Health Systems, or Healthcare Consulting)

Nice To Haves

Experience with Medical Economics or Actuarial Science
Advanced proficiency in SQL and Excel is required. Experience with data visualization tools (Looker) is highly preferred.
Experience using data and metrics to drive improvements in programs
Experience / background in a fast-paced operations environment
Successfully executed enterprise-wide initiatives: defined project plans, coordinated resources, managed implementation activities, and developed all processes associated with program rollout and ongoing support
Master's Degree

Responsibilities

Build complex financial modeling and lead the design and development of sound financial models to size the impact of UM and affordability strategies. Ensure alignment with corporate savings pipelines.
Represent the UM department within the broader organization's financial workstreams, ensuring UM initiatives are prioritized and recognized in the corporate savings pipeline.
Establish and maintain strong relationships with the Medical Economics and Data Science teams to develop vetted methodologies for tracking ROI.
Own the "Source of Truth" for the department's value tracking. You will monitor the performance of active initiatives and provide monthly "True-Up" reports comparing projected savings to actualized results. Develop methods to measure actual performance against expected benefits.
Build and maintain strong relationships with Medical Economics, Data Science, and Clinical leadership. Translate complex data into "executive-ready" narratives to influence enterprise-wide decision-making.
Create data-driven frameworks to help leadership navigate ambiguity and make informed decisions on new strategic investments based on risk adjustment and Medical Loss Ratio (MLR) impact.
Compliance with all applicable laws and regulations
Other duties as assigned