Oscar

Hi, we're Oscar. We're hiring an Intern to join our Actuarial team.
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.
About the role:
The Intern, Actuarial will support one of Oscar's three actuarial practices: Pricing, ETF (Experience, Trends, &amp; Forecasting), or Valuation. They will get an introduction to the healthcare industry from the perspective of an innovative, technology-driven health insurer, as well as gain valuable experience working with Oscar's actuaries and business partners to develop both the technical and communication skills required in the actuarial profession. All interns are required to report to Oscar's New York Headquarters for a minimum of three days per week. Candidates must be available 40 hours per week for a minimum of 10 weeks.
You will report into the Senior Manager, Actuarial.
Work Location: 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
Pay Transparency: The hourly rate will be $33.04-$43.37. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.
Responsibilities:
<ul>
<li>Produce a predetermined project or projects to support one of Oscar's actuarial teams. Projects may include building automation tools, projection models, dashboards, or experience studies. Project details will be discussed as part of the interview process and assigned according to interest and skillset.</li>
<li>Gain exposure to actuarial concepts, tools, and industry practices.</li>
<li>Participate in actuarial and cross-functional meetings to build relationships and rapport with internal stakeholders.</li>
<li>Assist with ad hoc analysis and communicate findings to both actuarial and non-actuarial audiences.</li>
<li>Compliance with all applicable laws and regulations</li>
<li>Other duties as assigned</li>
</ul>
Requirements:
<ul>
<li>3+ years of college towards a degree in Actuarial Science, Mathematics, Statistics or related field;</li>
</ul>
Bonus points:
<ul>
<li>Excellent problem solving, communication, and collaboration skills.</li>
<li>Proficiency in Excel/SQL/Python</li>
<li>Active College Students
<ul>
<li>Cumulative GPA of 3.0 or higher</li>
<li>Credit for one or more actuarial exams</li>
</ul>
</li>
<li>College Graduates
<ul>
<li>Degree in Actuarial Science, Mathematics, or Statistics</li>
<li>2 or more actuarial exams</li>
</ul>
</li>
</ul><div>This is an authentic Oscar Health job opportunity.
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 and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
Pay Transparency:  Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Artificial Intelligence (AI): Our <a href="https://oscarhealth.com/careers/ai-guidelines" target="_blank" rel="noopener noreferrer ugc">AI Guidelines</a> 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 applicant’s 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.
California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our <a href="https://oscarhealth.com/privacy-policy" target="_blank" rel="noopener noreferrer ugc">Privacy Policy</a>.</div>

Actuarial Intern

Hi, we're Oscar. We're hiring a Senior Data Scientist, Pharmacy to join our Data team.
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.
About the role:
The Senior Data Scientist, Pharmacy position supports our pharmacy benefit, developing data pipelines, models, and analytics that improve medication access, member experience, and plan affordability. Working with clinical, business, product, and engineering partners, you will lead projects in formulary optimization, utilization and population need trend analytics, and prior authorization automation.
Work Location: 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
Pay Transparency: The base pay for this role is: $163,944 - $215,176.50 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses.
Responsibilities:
<ul>
<li>Design and develop clinical AI and ML applications, leading the experimental lifecycle, target development, and operationalization strategy. Apply rigorous data science practices to ensure performance is robustly measured, safety and observability are prioritized, and deployment decisions are grounded in clear clinical and operational success criteria.</li>
<li>Apply advanced analytics to evaluate complex financial and health outcome questions, helping partners understand the potential effects of changes to clinical policies, benefit design, and member programs. Develop models and scenario analyses to quantify tradeoffs, test assumptions, and characterize uncertainty, translating findings into actionable recommendations. Validate analytical methods and results to ensure conclusions are robust and appropriate for the decisions they inform.</li>
<li>Collaborate closely with data leaders and business teams to enhance overall data processes, and lead execution with your team. Understand their needs and requirements, provide data support, and work together to develop solutions that improve processes and outcomes. Partner with business and technical stakeholders to prioritize opportunities, define success metrics, and guide experiments through evaluation and implementation.</li>
<li>Compliance with all applicable laws and regulations.</li>
<li>Other duties as assigned.</li>
</ul>
Requirements:
<ul>
<li>A bachelor's degree or 6+ years of industry or educational experience in a technical field.</li>
<li>4+ years of work experience working with SQL, R, and/or Python to query, manipulate and analyze data</li>
<li>4+ years experience building data models and using more advanced analytics methods, including conducting in depth analysis, rather than simple descriptive analysis</li>
<li>4+ years of  experience with statistical modeling and data processing/ETL pipeline building</li>
<li>2+ years of experience working with and presenting to non-technical stakeholders</li>
</ul>
Bonus points:
<ul>
<li>Experience in healthcare, finance or insurance industries, particularly pharmacy benefits or clinical operations.</li>
<li>Experience developing and deploying AI/ML applications involving unstructured documents, with rigorous evaluation and production monitoring.</li>
<li>Experience using statistical modeling to evaluate utilization trends, program effectiveness, or financial and health outcome tradeoffs, quantifying uncertainty.</li>
<li>A master’s degree in a quantitative field plus 3 years of relevant experience, or a PhD in a quantitative field.</li>
</ul><div>This is an authentic Oscar Health job opportunity.
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 and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
Pay Transparency:  Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Artificial Intelligence (AI): Our <a href="https://oscarhealth.com/careers/ai-guidelines" target="_blank" rel="noopener noreferrer ugc">AI Guidelines</a> 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 applicant’s 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.
California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our <a href="https://oscarhealth.com/privacy-policy" target="_blank" rel="noopener noreferrer ugc">Privacy Policy</a>.</div>

Senior Data Scientist, Pharmacy

Hi, we're Oscar. We're hiring a Senior Actuarial Analyst to join our Actuarial team.
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.
About the role:
The Senior Analyst, Actuarial supports Oscar's pricing processes for several Affordable Care Act (ACA) markets. You will prepare models and experience studies that support pricing, and company strategies.
You will report into the Director, Actuarial.
Work Location: 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
Pay Transparency: The base pay for this role is: $101,844 - $133,670 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:
<ul>
<li>Review core pricing and plan design models, understand main reasons for performance, and provide actuarial insights that will inform strategic pricing considerations.</li>
<li>Main contributor in reviewing regulatory filings and developing a viewpoint and recommendation for strategic pricing decisions.</li>
<li>Investigate the core drivers of observed trends and provide meaningful information for supporting pricing decisions</li>
<li>Promote and shape Oscar actuarial best practices concerning automation and documentation.</li>
<li>Maintain strong relationships, rapport, and lines of communication with both internal and external stakeholders.</li>
<li>Aid in the onboarding of analysts by collaborating and integrating them into existing processes.</li>
<li>Compliance with all applicable laws and regulations.</li>
<li>Other duties as assigned.</li>
</ul>
Requirements:
<ul>
<li>Bachelor's degree in a STEM field.</li>
<li>Associate or Fellow of the Society of Actuaries (SOA), or on the track to become one.</li>
<li>3+ years of experience in a related field.</li>
</ul>
 <div>This is an authentic Oscar Health job opportunity.
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 and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
Pay Transparency:  Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Artificial Intelligence (AI): Our <a href="https://oscarhealth.com/careers/ai-guidelines" target="_blank" rel="noopener noreferrer ugc">AI Guidelines</a> 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 applicant’s 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.
California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our <a href="https://oscarhealth.com/privacy-policy" target="_blank" rel="noopener noreferrer ugc">Privacy Policy</a>.</div>

Senior Actuarial Analyst

Hi, we're Oscar. We're hiring a Senior Analyst, Data Analytics, SIU to join our SIU team.
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.
About the role:
The Senior Analyst, Data Analytics, SIU partners across the organization to manage inefficiencies in the business. You will support teams in scoping, analyzing and monitoring performance of important financial and utilization metrics in service of our goals. The Senior Analyst, Data Analytics collaborates independently with stakeholders to define key questions and scope analyses. They may at times be called upon to speak to prepared analysis both internally and externally. This work aims to reduce medical waste and deliver more affordable and higher-quality health care for Oscar's members.
You will report into the Manager, SIU Data Analytics &amp; Reporting.
Work Location: This position is fully remote and open to candidates residing in the U.S., excluding Alaska; Delaware; Hawaii; Louisiana; Montana; North Dakota; Oklahoma; West Virginia; Wyoming; and U.S. Territories. Daily work is completed from your home office, with occasional travel required for team meetings and company events. #LI-Remote
Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $86,628 - $109,761 per year. The base pay for this role in all other locations is: $75,265 - $98,785 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Pay Transparency: The base pay for this role is:  You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:
<ul>
<li>Analyze data to support business teams in making better informed, data-driven decisions</li>
<li>Use data to tell a story that non-technical colleagues can understand, including packaging and presenting findings in a clear, concise and compelling manner</li>
<li>Oversee the creation and maintenance of essential operational and analytical dashboards, and update and enhance them as our user's needs evolve</li>
<li>Create models and tools that produce relevant insights to identify inefficiencies and generate insights to remove inefficiencies</li>
<li>Collaborate across the organization to identify actions to achieve improvements and monitor initiative impact</li>
<li>Support other strategic projects as assigned to meet business needs</li>
<li>Compliance with all applicable laws and regulations</li>
<li>Other duties as assigned</li>
</ul>
Requirements:
<ul>
<li>1+ years of technical work experience using analytical tools and writing analytical reports</li>
<li>1+ years demonstrated ability to work with large datasets and distill analyses into relevant insights with a structured and systematic thought process</li>
<li>Strong communication skills, verbal and written, around business reporting impact and requirements, as demonstrated by experience on at least 2 reporting projects requiring communication between technical and non-technical users</li>
<li>Experience in SQL, with the ability to filter, aggregate, and build CTEs, or proficiency in R or Python, including experience with Pandas, for loops, and statistical tests</li>
<li>Proficiency in Google Sheets or Excel skills, with ability to use VLookup, nested if statements and connected Sheets</li>
<li>1+ years experience in healthcare, finance or the insurance industry</li>
</ul>
Bonus points:
<ul>
<li>1+ years experience in preparing healthcare analytics and reporting</li>
<li>1+ years experience managing value-based contracts at a payer or a provider organization (ACO, CIN, MSO)</li>
<li>1+ years experience developing dashboards and working with Looker, or other business intelligence/data visualization tools</li>
<li>Exposure to healthcare contract negotiations, risk adjustment, ACA marketplace, quality of care, and/or population health experience</li>
</ul><div>This is an authentic Oscar Health job opportunity.
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 and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
Pay Transparency:  Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Artificial Intelligence (AI): Our <a href="https://oscarhealth.com/careers/ai-guidelines" target="_blank" rel="noopener noreferrer ugc">AI Guidelines</a> 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 applicant’s 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.
California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our <a href="https://oscarhealth.com/privacy-policy" target="_blank" rel="noopener noreferrer ugc">Privacy Policy</a>.</div>

Senior Analyst, Data Analytics, SIU

Hi, we're Oscar. We're hiring a Senior Analyst, SIU Investigator to join our SIU team.
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.
About the role:
The Senior Analyst, Special Investigations Unit Investigator detects, investigates, and produces change in aberrant behavior observed in claims and enrollment data. You will analyze data and manage investigative caseload from identification through to resolution including overpayment recovery, measuring behavior change and completing necessary reporting to meet monetary and caseload targets through investigations and internal process improvements for Fraud Waste and Abuse (FWA) recoupments and savings.
You will report into the Investigations Manager, SIU.
Work Location:
This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote
Pay Transparency: The base pay for this role is: $72,036 - $94,547 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
You must be currently authorized to work in the United States on a full-time basis. Oscar will not sponsor applicants for this role.
Responsibilities:
<ul>
<li>Identify and conduct investigations into known or suspected FWA with high autonomy</li>
<li>Develop documentation to substantiate findings, including formal reports, graphs, audit logs, and other supporting documentation.</li>
<li>Meet targets through investigations and internal process improvements– which should, at least initially, increase year-over-year – for FWA recoupments and savings</li>
<li>Perform analysis on prior cases to inform future identification of similar claims or cases and associated savings (i.e., help move from “pay-and-chase” to preventive edits and prepayment activity)</li>
<li>Participate in the development and presentation of FWA-related education for Oscar teams</li>
<li>Compliance with all applicable laws and regulations</li>
<li>Other duties as assigned</li>
</ul>
Requirements:
<ul>
<li>3+ years of insurance claims investigation experience or professional investigation experience with law enforcement agencies</li>
<li>1+ year experience with applicable fraud statutes and regulations, and of federal guidelines on recoupments and other anti-FWA activity</li>
</ul>
Bonus points:
<ul>
<li>Bachelor's degree in Criminal Justice or a related field</li>
<li>Experience working in health insurance across several product lines specifically with claims processing, billing, reimbursement, or provider contracting.</li>
<li>Experience with HIPAA, data privacy, and/or data security processes</li>
<li>Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), Certified AML [Anti-Money Laundering] and Fraud Professional (CAFP), or similar</li>
<li>Certified Professional Coder (CPC) or similar</li>
</ul><div>This is an authentic Oscar Health job opportunity.
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 and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
Pay Transparency:  Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Artificial Intelligence (AI): Our <a href="https://oscarhealth.com/careers/ai-guidelines" target="_blank" rel="noopener noreferrer ugc">AI Guidelines</a> 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 applicant’s 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.
California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our <a href="https://oscarhealth.com/privacy-policy" target="_blank" rel="noopener noreferrer ugc">Privacy Policy</a>.</div>

Oscar

Open jobs at Oscar

Actuarial Intern

Senior Data Scientist, Pharmacy

Senior Actuarial Analyst

Senior Analyst, Data Analytics, SIU

Senior Analyst, SIU Investigator

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