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Oscar Health // health insurance
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Hi, we're Oscar. We're hiring a Senior Medical Director to join our Clinical Care Team

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

About the role

You will spearhead the development of the Clinical Care Team (CCT) & Virtual Care Program's clinical strategy to enhance healthcare quality while managing costs. Responsibilities include analyzing healthcare data to assess financial impacts, collaborating with clinical leaders, & designing innovative care models. As a key liaison between various stakeholders, you'll provide expertise on clinical initiatives & drive improvements in healthcare outcomes & cost management.

You will report to the Senior Vice President, Clinical Care Teams & Virtual Care.

Work Location: 

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture & our mission. 

If you live within commutable distance to our New York City office ( in Hudson Square), our Tempe office (off the 101 at University Ave), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role. 

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role is: $280,800 - $368,550 per year. You are also eligible for employee benefits, participation in Oscars unlimited vacation program, company equity grants & annual performance bonuses.

Responsibilities

  • Develop & align overall Clinical Strategy across service lines with OHI mission & vision.
  • Design & optimize workflows for care team members, ensuring licensure consistency.
  • Ensure access to appropriate clinical services for all patients.
  • Optimize service line scope, patient routing, & service offerings in collaboration with clinical, operational, & tech partners.
  • Stay updated on industry developments, economic trends, & healthcare policies to inform decision-making.
  • Provide oversight for the direction & evolution of the quality & safety program.
  • Oversee quality processes across service lines to ensure high-quality clinical care.
  • Support performance management planning & provide feedback for performance improvement opportunities.
  • Drive Population Level Quality Outcomes for patients & populations to deliver Comprehensive & Cost-Effective care.
  • Collaborate with stakeholders to improve healthcare cost management & provide data-driven recommendations for financial sustainability.
  • Compliance with all applicable laws & regulations
  • Other duties as assigned

Qualifications

Licensure:

  • MD or DO with a current unrestricted license to practice medicine is required
  • Must maintain necessary credentials to retain the position, including maintaining active board certification
  • Willing & able to obtain additional state licensure (with Oscars support)

Experience:

12+ years of experience in the healthcare industry, including:

  • 5+ years of clinical practice & board certified in one of the following fields: internal medicine, family medicine, general surgery, emergency medicine (other fields will be considered)
  • 7+ years experience leading people & teams
  • 5+ years experience with clinical operations/clinical strategy

Bonus Points

Licensure:

  • Licensure in multiple Oscar states
  • Masters degree or advanced certificate

Experience:

  • Experience with conducting quality-of-care investigations & peer reviews & developing performance improvement plans.

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here

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 & find both belonging & support. We're on a mission to change health care -- an experience made whole by our unique backgrounds & perspectives..

Pay Transparency: 

Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, & experience.

Full-time employees are eligible for benefits including: medical, dental, & vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life & disability insurance, & paid wellness time & reimbursements.

Reasonable Accommodation:

Oscar applicants are considered solely based on their qualifications, without regard to applicants disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

 
 
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