[Hiring] Associate, Medical Economics @Oscar Health

Role Description

The Associate, Medical Economics, is part of our Medical Cost Analytics team within the Medical Economics department. You will report to the Associate Director of Medical Economics and serve as a partner for the VP of Regional Market, responsible for providing actionable insights through:

• Trend monitoring
• Identification of key market drivers
• Evaluation of market-level initiatives

You will partner with market management teams, regional actuaries, and market medical officers to deliver analytical support that informs strategic decision-making to optimize market performance, with the ultimate goal of improving total cost of care and driving affordability value.

Work Location: This is a remote position, open to candidates who reside in Dallas, TX. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area.

Pay Transparency: The base pay for this role is $111,034 - $145,733 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.

Responsibilities

• Work under the guidance of the Associate Director, Medical Economics, serving as a highly engaged analytic partner to drive market performance.
• Analyze regional trends, competitor activities, and industry developments to identify new opportunities and risks.
• Perform in-depth analysis of integrated claims and operational data (medical, pharmacy, lab, auths) to identify cost and trend drivers informing market operations.
• Provide proactive financial guidance on emerging market trends and their potential impact on our financial performance.
• Assess the effectiveness of market-level programs and integrate into the central affordability program.
• Build retrospective studies to measure the actual financial and clinical outcomes of implemented affordability initiatives, comparing results against initial projections.
• Build repeatable analytical processes that scale across market areas.
• Present materials for market finance review meetings and manage follow-up with market leadership.
• Develop best practices in analytics, automation, and documentation, contributing to department programs around innovation, AI use, and tooling improvements.
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

Qualifications

• College degree in a STEM field: e.g. Economics, Actuarial Science, Health Economics, Biostatistics, Health Informatics, Health Services Research.
• 4+ years of quantitative analysis experience.

Requirements

• Bonus points: Associate or Fellow of the Society of Actuaries (SOA), or on the track to become one.
• Excellent communication, collaboration, and relationship-building skills.
• Strong understanding of health insurance concepts, data sources, and nuances.
• Proficiency using SQL, R, and/or Python to query, manipulate and analyze data.

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.