Medical Director Scientific Affairs

The role

The Medical Director Scientific Affairs provides strategic leadership to the Clinical Policy team. This person manages the full policy lifecycle and directs clinical publishing efforts.

What you will do

• Serve as the primary evidence-based subject matter expert
• Lead the research, development, revision, and clinical accuracy of medical, utilization management, and pharmacy coverage policies
• Advise executive leadership on emerging medical therapies, complex clinical trends, and population health utilization patterns
• Support the development of clinical and lifestyle products through evidence based research
• Foster academic partnerships to advance and publish clinical research
• Lead the systematic review of major specialty society guidelines
• Establish, maintain, and enforce the formal framework for grading clinical evidence
• Oversee Clinical Advisory Subcommittees
• Partner with Pharmacy Services, Legal, and Compliance to integrate coverage policies
• Support interactions with federal and state regulatory bodies

Required qualifications

• 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) 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)

Nice to have

• Demonstrated experience analyzing clinical trials and medical literature
• A track record of publishing in peer-reviewed clinical journals or serving on an Institutional Review Board (IRB) or Clinical Practice Guideline panel
• PhD or Masters in Clinical Research

Benefits

• medical, dental, and vision benefits
• 11 paid holidays
• paid sick time
• paid parental leave
• 401(k) plan participation
• life and disability insurance
• paid wellness time and reimbursements
• unlimited vacation program
• company equity grants

About the company

Oscar is a health insurance company built around a full stack technology platform. It was started in 2012 to create a health insurance company that behaves like a doctor in the family.