About the job
Join Oscar as an Associate in Medical Economics, where you'll be an integral part of our Medical Economics team.
At Oscar, we are pioneering a new approach to health insurance, built on a comprehensive technology platform with an unwavering commitment to our members' needs. Founded in 2012, Oscar was created to provide a health insurance experience that feels more like having a family doctor.
About the Role:
The Associate in Medical Economics will collaborate with our Medical Cost Analytics team within the Medical Economics department. Reporting to the Senior Director of Medical Economics, you will engage in analyzing medical costs to identify trend drivers, forecast financial outcomes, monitor programs, and uncover cost-saving strategies. Your role will involve partnerships with Medical Economics leadership, Data Science, Finance, Payment Integrity, and other analytical support functions to ensure precise projections are reflected in management reports.
Your primary responsibilities will include:
- Supporting the Senior Director of Medical Economics in financial modeling.
- Creating and maintaining advanced models to project the financial impacts of clinical and payment policy changes, including conducting sensitivity analyses and stress tests under various utilization and cost scenarios.
- Staying informed about industry best practices and driving innovation within the team.
- Conducting thorough analyses of integrated claims and operational data (medical, pharmacy, lab, authorizations) to pinpoint cost and trend drivers.
- Offering proactive financial insights on emerging clinical trends and their implications for our financial performance.
- Executing retrospective studies to assess actual financial and clinical outcomes against initial projections.
- Establishing repeatable analytical processes that can scale across multiple programs.
- Creating executive-ready visualizations tailored for various stakeholders.
