Associate, Medical Economics

Responsibilities

• 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
• Provide proactive financial guidance on emerging market trends and their potential impact on financial performance
• Assess the effectiveness of market-level programs and integrate findings into the central affordability program
• Build retrospective studies to measure the actual financial and clinical outcomes of implemented affordability initiatives
• 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, including innovation and AI tooling improvements

Requirements

• 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

Preferred Qualifications

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

Benefits

• Competitive base pay: $123,372 - $161,925 per year
• Annual performance bonuses
• Unlimited vacation program
• Medical, dental, and vision benefits
• 401(k) plan participation
• Life and disability insurance
• 11 paid holidays, paid sick time, paid parental leave, and paid wellness time

About the Company

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.