Market Medical Officer, Atlantic

The role

The Market Medical Officer is the clinical executive for the Atlantic region. This person will lead market performance, expand care access, and enhance affordability by partnering with P&L leadership.

What you will do

• Drive performance of key clinical metrics for trend management and market performance.
• Work with Med Econ to identify market based utilization trends and develop solutions.
• Build strategic partnerships with health systems, physician groups, and community providers.
• Serve as regional clinical partner across internal teams.
• Partner with Network Contracting leadership to guide clinical initiatives.
• Identify and resolve regional network gaps and access barriers.
• Collaborate with regulatory agencies and compliance teams to ensure network adequacy.
• Serve as the point of accountability for regional escalations.
• Comply with all applicable laws and regulations.
• Other responsibilities as assigned.

Required qualifications

• 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 experience of clinical leadership in role specific market.
• 7+ years of experience managing clinical market trend in health insurance or full risk bearing clinical provider groups.
• 5+ years of clinical practice.
• Board certified in internal medicine, family medicine, general surgery, or emergency medicine.
• 5+ years of experience leading teams.
• MD or DO with a current unrestricted license to practice medicine in GA, NC, SC, NJ, NY, PA, or VA.
• Maintain necessary credentials including active board certification.
• Willing and able to obtain additional state licensure.

Nice to have

• P&L experience for risk bearing entity.
• Licensure in multiple Oscar states.
• Masters degree or advanced certificate.
• Prior experience with Utilization management.

Benefits

• Unlimited vacation program
• Company equity grants
• Annual performance bonuses
• 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

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.