[Hiring] Manager, Medical Economics Tooling @Oscar Health

Role Description

Hi, we're Oscar. We're hiring a Manager, Medical Economics Tooling to join our Actuarial team. The Manager, Medical Economics is a hands-on technical leader whose primary responsibility is to design dashboards, business-intelligence solutions, and other analytical products. The role turns Medical Economics and actuarial needs into trusted metric logic, curated datasets, visualizations, recurring analyses, and automation that make medical cost, utilization, membership, risk, and financial performance transparent and actionable.

The technology stack may evolve, but strong hands-on development capability is required. You will use the selected BI and data-development tools, with SQL, Python, or comparable code as appropriate; partner with stakeholders to define requirements; translate approved methodologies into reliable solutions; and own complex products through launch, maintenance, and improvement. At the L5 level, the role also contributes technical standards, design and code review, documentation, and mentorship. You will remain hands-on and does not require direct people management.

You will report to a Senior Director in the Medical Economics department.

Work Location: This position is fully remote and open to candidates residing in the U.S., excluding Alaska; Delaware; Hawaii; Louisiana; Montana; North Dakota; Oklahoma; West Virginia; Wyoming; and U.S. Territories. Daily work is completed from your home office, with occasional travel required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $135,792 - $178,227 per year. The base pay for this role in all other locations is: $122,213 - $160,404 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities

• Design and build dashboards, business-intelligence solutions, reusable metric logic, curated datasets, recurring analyses, and automation from the ground up.
• Use the selected BI and data-development tools, including SQL, Python, or comparable code, to build these solutions.
• Translate stakeholder requirements into clear technical designs.
• Translate approved actuarial and health-insurance methodologies into maintainable analytical solutions.
• Own complex solutions through the full development lifecycle, including requirements, prototyping, development, testing, user acceptance, deployment, monitoring, maintenance, and enhancement.
• Partner with Medical Economics, Actuarial, Finance, Data, BI, operational, and business stakeholders.
• Apply practical development and product standards.
• Provide technical leadership by reviewing designs and code, guiding matrixed contributors, and mentoring colleagues.
• Communicate completed solutions and resulting insights through recurring operational and executive readouts.
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

Requirements

• Bachelor's degree in a quantitative or technical field.
• 5+ years of quantitative analysis, business intelligence, actuarial, Medical Economics, healthcare data, or related experience; and/or significant experience in health insurance or another payer environment.
• Strong knowledge of medical claims and healthcare coding, including CPT/HCPCS, ICD-10, and DRGs.
• Advanced hands-on proficiency with SQL and at least one general-purpose programming language, such as Python.

Bonus Points

• Demonstrated advanced experience with quantitative problem-solving, coding, technical design, and learning complex healthcare or financial concepts.
• Own and lead complex decision-support solutions from requirements through launch and maintenance.
• Demonstrated experience designing, building from the ground up, deploying, and operating dashboards, recurring analyses, data products, or shared metric content.
• Experience applying software-development practices to production analytical products and recurring quantitative workflows.
• Experience translating ambiguous business needs and quantitative methodologies into technical designs.
• Experience leading work across multiple teams or matrixed contributors.
• Strong product judgment and process-management skills.
• Hands-on proficiency with a modern BI or visualization platform such as Looker, Tableau, Power BI, or a comparable tool.
• Experience with data-transformation frameworks, workflow orchestration, CI/CD or release automation.
• Experience designing governed metric definitions, shared dimensions and measures.
• Experience using AI-assisted or large-language-model tools for software development, data analysis, or insight generation.
• Associate or Fellow of the Society of Actuaries, or progress toward an SOA credential.

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.