Medical Director Scientific Affairs

Oscar Health•Remote, FL

4d•$237,719 - $312,006•Remote

About The Position

Oscar is hiring a Medical Director Scientific Affairs to provide strategic leadership to the Clinical Policy team. The role ensures medical and pharmacy policies are rigorously evidence-based and aligned with current clinical advancements, managing the full policy lifecycle from literature evaluation through final execution. The position also directs Oscar Health's clinical publishing efforts and serves as a cross-functional scientific authority across the organization. The role reports to the Vice President, Clinical Affairs. It is fully remote and open to candidates residing in the United States, excluding Alaska, Delaware, Hawaii, Louisiana, Montana, North Dakota, Oklahoma, West Virginia, Wyoming, and U.S. Territories. Daily work is performed from a home office, with occasional travel for team meetings and company events. The stated base pay range is $237,719–$312,006 per year, with eligibility for employee benefits, unlimited vacation, company equity grants, and annual performance bonuses.

Requirements

10+ years of experience working in relevant fields.
6+ years of clinical policy experience in health insurance, a PBM, or another clinical guideline development organization.
4+ years of experience drafting and developing clinical policies.
4+ years of experience leading, chairing, or facilitating multidisciplinary clinical committees or advisory subcommittees.
4+ years of publishing experience in relevant fields.
3+ years of experience communicating with executives and interacting with all levels of an organization.
3+ years of people management leadership experience.
1+ year of experience with medical coding terminologies, including HCPCS, CPT, and ICD-10.
Medical degree (MD or DO) from an accredited school of medicine or osteopathic medicine.
Active board certification recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA).

Nice To Haves

Demonstrated experience analyzing clinical trials and medical literature.
A track record of publishing in peer-reviewed clinical journals or serving on an Institutional Review Board (IRB) or Clinical Practice Guideline panel.
PhD or master's degree in Clinical Research.

Responsibilities

Serve as the primary evidence-based subject matter expert, translating clinical research into actionable strategies to elevate care quality across the organization.
Lead the research, development, revision, and clinical accuracy of medical, utilization management, and pharmacy coverage policies.
Advise executive leadership on emerging medical therapies, complex clinical trends, and population health utilization patterns using data-driven insights.
Support the development of clinical and lifestyle products through evidence-based research tailored to target populations.
Foster academic partnerships to advance and publish clinical research leveraging health plan population data.
Lead systematic reviews of major specialty society guidelines, including ASCO, ACC, and AACE, ensuring policies reflect established standards of care and objective evidence evaluation.
Establish, maintain, and enforce a formal framework for grading clinical evidence, ensuring policies are anchored in high-quality, peer-reviewed literature.
Oversee Clinical Advisory Subcommittees by setting agendas, presenting clinical evidence packages, and driving expert consensus to guide policy decisions.
Partner with Pharmacy Services and the P&T Committee, Legal, and Compliance to integrate coverage policies that meet or exceed NCQA standards and state and federal mandates.
Support interactions with federal and state regulatory bodies, including the FDA, CMS, and State DOIs, as needed.
Comply with all applicable laws and regulations.
Perform other responsibilities as assigned.