Market Medical Officer, Texas + West

Oscar Health•Remote, TX

4d•$261,565 - $381,449•Remote

About The Position

Oscar is hiring a Market Medical Officer for the Texas + West region to serve as its clinical executive, partnering with P&L leadership to drive market performance, expand care access, and improve affordability. The role optimizes medical cost trends and reimbursement strategies while balancing financial sustainability with plan performance. As the primary clinical liaison for the region, the officer executes regional initiatives and connects corporate operations with local provider leadership. The position reports to the VP Clinical Affairs. This is a fully remote role for candidates residing in Texas, Arizona, or Missouri. Daily work is performed from a home office, with occasional travel for team meetings and company events. The position offers a base salary of $290,628–$381,449 in California, Connecticut, New Jersey, New York, and Washington, and $261,565–$343,304 in other locations. Employees are also eligible for benefits, Oscar's unlimited vacation program, company equity grants, and annual performance bonuses.

Requirements

12+ years of progressive leadership experience in healthcare.
10+ years of experience in managed care, including prior experience leading in a matrix environment.
7+ years of clinical leadership experience in the role-specific market.
7+ years of experience managing clinical market trends in health insurance or full-risk-bearing clinical provider groups.
5+ years of clinical practice and board certification in internal medicine, family medicine, general surgery, or emergency medicine; other fields will be considered.
5+ years of experience leading teams.
MD or DO and a current unrestricted license to practice medicine in a state in the region (TX, AZ, MO, or OK).
Maintain necessary credentials for the position, including active board certification.
Willingness and ability to obtain additional state licensure, with Oscar's support.

Nice To Haves

P&L experience for a risk-bearing entity.
Licensure in multiple Oscar states.
Master's degree or advanced certificate.
Prior experience with Utilization Management.

Responsibilities

Drive performance of key clinical metrics for trend management and regional plan performance, including ED/K, APK, and ALOS, in partnership with market P&L leadership.
Partner with Medical Economics to identify market utilization trends and flares and develop solutions to address key drivers of overall spending.
Build strategic partnerships with health systems, physician groups, and community providers to align incentives and lower the total cost of care.
Serve as the regional clinical partner across internal teams, including Affordability, Utilization Management, Care Management, and Claims, to drive regional performance goals.
Partner with Network Contracting leadership on clinical initiatives that improve provider alignment, care quality, and clinical outcomes across the region.
Identify and resolve regional network gaps and access barriers to advance equitable, high-quality care across member populations.
Collaborate with regulatory agencies and compliance teams to ensure regional network adequacy and quality programs comply with state and federal requirements, and translate policy changes into operational strategy that protects member access and organizational performance.
Be accountable for regional escalations, including internal and external appeals, provider and member grievances, and complex case management scenarios.
Comply with all applicable laws and regulations.
Perform other duties as assigned.