Market Medical Officer, Central

The role

The Market Medical Officer is the clinical executive for the Central region. This person will partner with P&L leadership to drive market performance, expand care access, and enhance affordability.

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 and 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 Illinois, Indiana, Michigan, Ohio, Iowa, Kansas, or Nebraska.
• Maintain necessary credentials to retain the position including maintaining 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.