Associate, Medical Economics

Oscar Health; Dallas (TX); Remote; USD 118,080 - 154,980; Full time

Benefits offered by this job

Unlimited vacation

Annual performance bonuses

Medical, dental, and vision coverage

Paid parental leave

401(k) plan

Job summary

Oscar Health is looking for an Associate in Medical Economics to join their Medical Cost Analytics team. This remote position focuses on analyzing medical costs to identify trends and project financial outcomes.

The ideal candidate will have a degree in a STEM field and over 4 years of experience in quantitative analysis, particularly using SQL. Oscar Health promotes a collaborative environment with numerous employee benefits.

Qualifications

• 4+ years of quantitative analysis experience.
• Experience in developing analytics that drive business decisions.
• Knowledge of industry best practices.

Responsibilities

• Analyze medical costs to identify trends and cost-saving opportunities.
• Maintain models for financial impact forecasting.
• Perform in-depth analysis of integrated claims data.
• Build scalable analytic processes.
• Create visualizations for stakeholders.

Skills

Quantitative analysis using SQL

Collaboration and relationship-building skills

Education

College degree in a STEM field

Job description

About the role:

The Associate, Medical Economics, is part of our Medical Cost Analytics team within the Medical Economics department. The Associate reports to the Senior Director, Medical Economics, and works with leadership from Data Science, Finance, Payment Integrity, and other analytic teams to ensure accurate projections are reflected in management reporting. The role focuses on analyzing medical costs to understand trend drivers, project financial outcomes, monitor programs, and identify cost‑saving opportunities.

Work Location:

This is a remote position, open to candidates residing in Dallas, TX. The approach to work may evolve over time and could include future hybrid models at the hub office in the metro area.

Pay Transparency:

The base pay for this role is $118,080 – $154,980 per year. Employees are also eligible for a range of benefits, including unlimited vacation, annual performance bonuses, and other standard benefits outlined below.

Responsibilities:

• Work under the guidance of the Senior Director, Medical Economics.
• Maintain sophisticated models to forecast the financial impact of proposed changes to clinical and payment policies, including sensitivity analyses and stress testing.
• Develop knowledge of industry best practices and drive innovation.
• 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 latest clinical trends and their potential impact on performance.
• Accomplish retrospective studies to measure the actual financial and clinical outcomes of implemented policies, comparing results against initial projections.
• Build repeatable analytic processes that scale across programs.
• Create executive‑ready visualizations tailored to different stakeholder audiences.
• Promote and shape Oscar best practices concerning automation, AI use, and tooling improvements.
• Ensure compliance with all applicable laws and regulations.
• Other duties as assigned.

Requirements:

• College degree in a STEM field: Economics, Actuarial Science, Health Economics, Biostatistics, Health Informatics, Health Services Research, etc.
• 4+ years of quantitative analysis experience using SQL.
• Demonstrable track record of building analytics that drive business decisions and actions.

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.

Equal Opportunity Employer:

Oscar is an Equal Opportunity Employer committed to creating an inclusive environment where people can be their authentic selves and find belonging and support. We are on a mission to change health care.

Benefits:

Full‑time employees are eligible for benefits including medical, dental, and vision coverage, 11 paid holidays, paid sick time, paid parental leave, a 401(k) plan, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI) Guidelines:

Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation:

Oscar applicants are considered solely based on their qualifications, without regard to disability or need for accommodation. Applicants requiring accommodations should contact the Oscar Benefits Team at [e-mail].

California Residents:

Information about our collection, use, and disclosure of applicants' personal information and applicants' rights concerning personal data is available in our Privacy Policy.