Oscar is looking for an Associate, Medical Economics to join our Medical Cost Analytics team. You will analyze medical costs to understand trend drivers, project financial outcomes, and identify cost savings opportunities, directly contributing to our mission to change health care.
What You'll Do
- Work under the guidance of the Senior Director, Medical Economics.
- Maintain sophisticated models to forecast the financial impact of proposed changes to clinical and payment policies.
- Conduct sensitivity analyses and stress testing on models to understand the range of potential outcomes.
- Develop knowledge of industry best practices and work to drive innovation.
- Perform in-depth analysis of integrated claims and operational data (medical, pharmacy, lab, auths) to identify cost and trend drivers.
- Provide proactive financial guidance on latest clinical trends and their potential impact on our financial performance.
- Accomplish retrospective studies to measure the actual financial and clinical outcomes of implemented policies.
- Build repeatable analytic processes that scale across programs.
- Create executive-ready visualizations tailored to different stakeholder audiences.
- Promote and shape Oscar best practices concerning automation and documentation.
- Contribute to department initiatives around automation, AI use, and tooling improvements.
- Comply with all applicable laws and regulations.
What We're Looking For
- College degree in a STEM field: e.g. 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.
Nice to Have
- Associate or Fellow of the Society of Actuaries (SOA), or on the track to become one.
- Excellent communication, collaboration, and relationship-building skills.
Technical Stack
- SQL
Team & Environment
You will be part of the Medical Cost Analytics team within the Medical Economics department, reporting to the Senior Director, Medical Economics.
Benefits & Compensation
- 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
- Compensation: $118,080 - $154,980 per year
Work Mode
This is a remote position open to candidates in Boston, MA.
At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support.
