Senior Analyst, Medical Economics
About The Position
The Senior Analyst, Medical Economics is part of Oscar's Medical Economics department. This role involves analyzing medical costs to understand trend drivers, measuring and projecting financial outcomes of initiatives, monitoring programs, and identifying and quantifying cost savings opportunities. The analyst will partner with Medical Economics leadership and other analytic teams to lead initiatives supporting Oscar's Total Cost of Care (TCoC) goals. Collaboration with clinical leadership and business leaders in market management or functional areas is also a key aspect of this position. The role reports 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.
- 3+ years of relevant quantitative analysis experience.
Nice To Haves
- Associate or Fellow of the Society of Actuaries (SOA), or on the track to become one.
- Strong understanding of health insurance concepts, data sources, and nuances.
- Demonstrated knowledge of managed care and how provider reimbursement policies relate to the control of medical claims costs.
Responsibilities
- Work under the guidance of a manager or director in the medical economics department.
- Perform complex analytical projects to research use and unit cost medical cost drivers.
- Develop and deliver detailed reports, presentations, and dashboards that distill complex medical economics insights for team members, project teams, and team leaders.
- Participate in discussions and presentations with market management leadership, market medical officers, and Medical Economics leadership about medical cost drivers and cost mitigation opportunities.
- Develop relationships with operational leaders across important teams (e.g., Market Management, Affordability, Network, Payment Integrity, Clinical).
- Develop knowledge of industry best practices and work to guide innovation.
- Contribute to department programs around automation, AI use, documentation, and tooling improvements.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Benefits
- 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
- Oscar's unlimited vacation program
- annual performance bonuses
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What This Job Offers
Job Type
Full-time
Career Level
Senior
