Job Description
<p>Hi, we're Oscar. We're hiring a Manager, Strategic Value Investment Analysis to join our UM Strategy team.</p>
<p>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.</p>
<p><strong>About the role:</strong></p>
<p>You will be heavily embedded in the financial oversight of the UM Strategy team. You are responsible for quantifying and communicating the financial impact of all UM initiatives. Your core goal is to ensure that strategic investments translate into measurable, defensible affordability outcomes. You will be the primary liaison between the UM business unit and the Medical Economics/Finance departments to ensure all investments are accurately sized and tracked.</p>
<p>You will report into the Director, UM Authorization Strategy.</p>
<p><strong>Work Location: </strong>This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid</p>
<p><strong>Pay Transparency: </strong>The base pay for this role is: $117,576 - $154,318 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.</p>
<p><strong>Responsibilities:</strong></p>
<ul>
<li>Build complex financial modeling and lead the design and development of sound financial models to size the impact of UM and affordability strategies. Ensure alignment with corporate savings pipelines.</li>
<li>Represent the UM department within the broader organization's financial workstreams, ensuring UM initiatives are prioritized and recognized in the corporate savings pipeline.</li>
<li>Establish and maintain strong relationships with the Medical Economics and Data Science teams to develop vetted methodologies for tracking ROI.</li>
<li>Own the "Source of Truth" for the department's value tracking. You will monitor the performance of active initiatives and provide monthly "True-Up" reports comparing projected savings to actualized results. Develop methods to measure actual performance against expected benefits.</li>
<li>Build and maintain strong relationships with Medical Economics, Data Science, and Clinical leadership. Translate complex data into "executive-ready" narratives to influence enterprise-wide decision-making.</li>
<li>Create data-driven frameworks to help leadership navigate ambiguity and make informed decisions on new strategic investments based on risk adjustment and Medical Loss Ratio (MLR) impact.</li>
<li>Compliance with all applicable laws and regulations</li>
<li>Other duties as assigned</li>
</ul>
<p><strong>Requirements:</strong></p>
<ul>
<li>4+ years of experience of experience in management consulting, financial strategic analysis, or healthcare corporate strategy.</li>
<li>3+ years of experience in delivering projects / programs</li>
<li>Strong understanding of the ACA (Individual/Small Group) business model, including how UM impacts Risk Adjustment and Medical Loss Ratio (MLR).</li>
<li>3+ years of expertise in financial modeling, business case development, and cost-benefit analysis.</li>
<li>Healthcare experience (Health Insurance, Health Systems, or Healthcare Consulting)</li>
</ul>
<p><strong>Bonus points:</strong></p>
<ul>
<li>Experience with Medical Economics or Actuarial Science</li>
<li>Advanced proficiency in SQL and Excel is required. Experience with data visualization tools (Looker)</li>
<li>Experience using data and metrics to drive improvements in programs</li>
<li>Experience / background in a fast-paced operations environment</li>
<li>Successfully executed enterprise-wide initiatives: defined project plans, coordinated resources, manag ... (truncated, view full listing at source)