Associate, Medical Economics

3 hours, 30 minutes ago
Full-time
Mid Level
Data Science and Analytics
Oscar

Oscar

Oscar is a health insurance company that offers plans for individuals, families, and small businesses. With a focus on humanizing health care through technology, design, and data, Oscar provides easy-to-understand bills, 24/7 access to doctors, and a p...

Insurance
1K-5K
Founded 2012

Description

  • Work under the guidance of the Senior Director, Medical Economics.
  • Maintain models that forecast the financial impact of proposed clinical and payment policy changes.
  • Conduct sensitivity analyses and stress testing to evaluate possible utilization and cost scenarios.
  • Analyze integrated claims and operational data, including medical, pharmacy, lab, and authorization data, to identify cost and trend drivers.
  • Provide proactive financial guidance on clinical trends and their potential impact on financial performance.
  • Perform retrospective studies to measure the financial and clinical outcomes of implemented policies.
  • Build repeatable analytic processes that can scale across programs.
  • Create executive-ready visualizations tailored to clinical and financial stakeholders.
  • Promote best practices for automation and documentation and contribute to automation, AI, and tooling improvements.
  • Ensure compliance with applicable laws and regulations.

Requirements

  • Bachelor’s degree in a STEM field such as Economics, Actuarial Science, Health Economics, Biostatistics, Health Informatics, or Health Services Research.
  • 4+ years of quantitative analysis experience using SQL.
  • Demonstrable track record of building analytics that drive business decisions and actions.
  • Associate or Fellow of the Society of Actuaries (SOA), or currently on track to become one.
  • Excellent communication, collaboration, and relationship-building skills (preferred).

Benefits

  • Base salary of $118,080 to $154,980 per year.
  • Eligibility for employee benefits.
  • Unlimited vacation program.
  • Annual performance bonuses.
  • Medical, dental, and vision insurance.
  • 11 paid holidays, paid sick time, and paid parental leave.
  • 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
  • Fully remote work arrangement for candidates residing in Atlanta, GA.

Interested in this position?

Apply directly on the company website

Apply Now

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