Director, Medical Economics

ABOUT THE ROLE We are seeking a highly skilled Director, Medical Economics to join our Actuarial team at Oscar. As the first health insurance company built around a full-stack technology platform and a relentless focus on serving our members, we aim to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. The Director, Medical Economics plays a pivotal role in Oscar's medical economics operating model, serving as a dedicated, proactive financial and analytic partner to a Market Vice President. You will be accountable for supporting trend management and achieving market affordability targets, identifying, sizing, and diagnosing medical cost and utilization drivers, and translating data into actionable insights. WHAT YOU'LL DO As a Director, Medical Economics, you will: - Partner with regional Market teams, regional actuaries, and market medical officers to co-lead regional trend management and drive total cost of care reduction strategies. - Lead the proactive identification, sizing, and root-cause analysis of medical cost and utilization anomalies, and identification of affordability opportunities within assigned regions. - Present comprehensive, executive-ready analytics and materials to stakeholders. - Mentor analysts in developing both analytic expertise and "soft skills," specifically regarding business writing, data visualization, and partner influence. - Act as a primary gateway and triage point for your market team's medical economics requests, effectively routing complex requests to centralized analytic teams when appropriate. - Connect local market programs and emerging cost flares into Oscar's centralized affordability framework and governance programs. - Collaborate with central affordability and local market teams to develop localized trend management strategies. - Contribute to the department's core tooling strategy by building analytics tailored to specific market needs with an eye toward scaling them into national solutions. - Provide support and training to market leadership teams to ensure self-service utilization of medical economics reports and tooling. - Promote operational efficiency and shared learning by actively sharing successful tactics, playbooks, and localized analytic tools across different regional markets. WHAT YOU'LL NEED To be successful in this role, you will need: - A Bachelor's degree in a STEM field, or 4 years of commensurate experience. - 10+ years of quantitative analysis in the healthcare industry. - Experience with medical economics, corporate strategy, or a related analytics-driven leadership role. - Experience with health insurance/payer analytics, with an understanding of medical claims data (e.g., CPT/HCPCS, ICD-10, DRGs) and standard healthcare industry data sources. WHY REMOTE This is a remote position, open to candidates who reside in Atlanta, GA. You will be fully remote, with the possibility of adapting our approach to work to include a hybrid presence at the hub office associated with your metro area in the future. BENEFITS - Competitive base pay: $178,848 - $234,738 per year. - Eligibility for employee benefits, including participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses.