Hi, we're Oscar. We're hiring a Market Medical Officer to join our Member Programs team.
Oscar is the first health insurance company built around a full stack technology platform and a 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.
About the role
We're looking for an experienced physician to provide clinical leadership as a Market Medical Officer to support us in our journey to make healthcare more affordable and accessible for all.
As a Market Medical Officer, you will have oversight responsibility for the medical management, quality improvement and clinical regulatory programs in your market. This is a full-time role. Although the location of the role can be flexible, you should reside in an existing Oscar market.
You will report to the VP & Medical Director of Member Programs.
This is a remote / work-from-home role. You must reside in one of the following states: Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Maryland, Massachusetts, Michigan, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, Tennessee, Texas, Utah, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote.
The base pay for this role is: $254,232 - $333,680 per year. You are also eligible for employee benefits, company equity grants and annual performance bonuses.
- Establish yourself as the local clinical representative for company partners and liaison to external parties such as Oscar's provider partners. Attend and often lead Joint Operating Committees.
- Develop a working relationship with regulators in the state, including the Office of Insurance, and represent Oscar in clinical matters and audits.
- Establish oversight responsibility for clinical functions in your region, including medical management and quality improvement, and work with both clinical and non-clinical counterparts to support their success.
- Partner with provider engagement team to improve network engagement and performance on accurate risk capture and quality / STARs projects
- Track important utilization and clinical performance metrics in your region, including identifying and presenting trends to internal and external meetings and committees.
- Be the internal and external point of accountability for escalated clinical issues in your region, including external utilization management appeals, member complaints and grievances and complex case management escalations. Attend CM/CCM/UM case rounds.
- Become familiar with applicable regulatory and accreditation requirements and Oscar tools, teams and workflows in place to ensure we meet them.
- Work collaboratively as a member of the market leadership team.
- Support a total quality process to use best practices and improve.
- Support Oscar's expansion efforts by obtaining necessary licensure and serving as a clinical representative with regulators.
- Become a source of inspiration and subject matter expert for the build-out of technology and data tools.
- MD or DO with a current unrestricted license to practice medicine in California. You should be willing to obtain additional state licenses, with Oscar's support.
- Board certified or eligible
- 3+ years in clinical practice
- 3+ years experience with managed care (payer or provider)
- Experience working with regulators, providers, provider systems, and accreditation organizations
- Professional skills / attributes:
- Experience using data to improve outcomes
- Excel in a matrix organization
- Comfortable working with and speaking about technology
- Experience with healthcare transformation that generates excitement with regulators and partners
- Ability to travel up to 20%
- Licensure in multiple Oscar states
- 1+ years of experience in a startup: understanding the pace and culture
- Specialized expertise in some facet of clinical care: Psychiatry, Oncology, Cardiology
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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. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives..
Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience.
Full-time employees are eligible for benefits including: medical, dental, and vision benefits, paid holidays, paid vacation and sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (email@example.com) to make the need for an accommodation known.
To protect the health and safety of our employees, we require any employee conducting in-person work* to be fully vaccinated against COVID-19 by their start date. If you are unable to be vaccinated due to medical or protected religious reasons, please reach out to our Benefits team at firstname.lastname@example.org to submit an accommodations request.
*Note: In-person work includes: employees required to work from our offices, employees conducting sales work in the field and employees conducting at-home or in-person visits with members.