Medical Director – Scientific Affairs

🔥 4 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $237.7k - $312k / year

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

🦅 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

• Serve as the primary evidence-based subject matter expert, translating clinical research into actionable strategies to elevate care quality across the organization • Lead the research, development, revision, and clinical accuracy of all medical, utilization management (UM), and pharmacy coverage policies • Advise executive leadership on emerging medical therapies, complex clinical trends, and population health utilization patterns using data-driven insights • Support the development of clinical and lifestyle products through evidence-based research tailored to target populations • Foster academic partnerships to advance and publish clinical research leveraging health plan population data • Lead systematic reviews of major specialty society guidelines, including ASCO, ACC, and AACE • Establish, maintain, and enforce the framework for grading clinical evidence • Oversee Clinical Advisory Subcommittees by setting agendas, presenting clinical evidence packages, and driving expert consensus • Partner with Pharmacy Services, Legal, and Compliance to integrate coverage policies meeting NCQA standards and state/federal mandates • Support interactions with federal and state regulatory bodies, including FDA, CMS, and State DOIs • Comply with all applicable laws and regulations • Perform other responsibilities as assigned

🎯 Requirements

• 10+ years working in relevant fields • 6+ years clinical policy experience in health insurance, PBM, or other clinical guideline development organization • 4+ years experience in clinical policy drafting and development • 4+ years of experience leading, chairing, or facilitating multi-disciplinary clinical committees or advisory subcommittees • 4+ years publishing in relevant fields • 3+ years of experience communicating with executives and interacting with all levels of the organization • 3+ years of leadership experience as a people manager • 1+ years of experience with medical coding terminologies (HCPCs, CPT, ICD-10) • Medical Degree (MD or DO): Required from an accredited school of medicine or osteopathic medicine • Active board certification recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA)

🏖️ 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