Market Medical Officer

🔥 3 hours ago

🌵 Arizona, California, +6 more states – Remote

🌵 Arizona – Remote 🏄 California – Remote 🦌 Connecticut – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🏰 Missouri – Remote 🤠 Texas – Remote ☕ Washington – Remote

💵 $261.6k - $343.3k / year

⏰ Full Time

🟠 Senior

🔴 Lead

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Oscar Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2012

⚕️ Healthcare Insurance

🏥 Healthcare

💰 $355M Post-IPO Debt - Oscar Health on 2025-09

Healthcare Insurance • Healthcare

Oscar Health is a technology-driven health insurance company that provides individual, family, and small-group health plans in multiple U. S. states. Oscar combines traditional insurance underwriting with digital-first services — a consumer-facing app, 24/7 virtual urgent care, prescription delivery (including $3 meds in many plans), and dedicated Care Teams — and also operates Oscar Primary Care in some markets. The company emphasizes accessible, affordable, high-quality care and uses AI to improve member experience and care delivery. Insurance policies are underwritten by Oscar's state insurance subsidiaries and the company offers both HMO and other plan types across its markets.

📋 Description

• Drive performance of key clinical metrics for trend management and regional plan performance in partnership with market P&L leadership • Identify market-based utilization trends and develop solutions to reduce overall spend • Build strategic partnerships with health systems, physician groups, and community providers • Serve as regional clinical partner across Affordability, Utilization Management, Care Management, Claims, and other internal teams • Partner with Network Contracting leadership on provider alignment, care quality, and clinical outcomes • Identify and resolve regional network gaps and access barriers • Collaborate with regulatory agencies and compliance teams on network adequacy and quality programs • Translate policy changes into proactive operational strategies • Own regional escalations, including appeals, grievances, and complex case management scenarios • Perform other duties as assigned

🎯 Requirements

• 12+ years of progressive leadership experience in healthcare • 10+ years of experience in managed care with prior experience leading in a matrix environment • 7+ years of clinical leadership experience in the role-specific market • 7+ years of experience managing clinical market trends in health insurance or full risk-bearing clinical provider groups • 5+ years of clinical practice • Board certified in internal medicine, family medicine, general surgery, emergency medicine, or another considered field • 5+ years of experience leading teams • MD or DO with a current unrestricted license to practice medicine required in a state in the region (TX, AZ, MO, OK) • Must maintain necessary credentials and active board certification • Willing and able to obtain additional state licensure • Compliance with all applicable laws and regulations

🏖️ Benefits

• Employee benefits • Unlimited vacation program • Company equity grants • Annual performance bonuses • Medical benefits • Dental benefits • Vision benefits • 11 paid holidays • Paid sick time • Paid parental leave • 401(k) plan participation • Life insurance • Disability insurance • Paid wellness time and reimbursements • Oscar’s support for obtaining additional state licensure