Market Medical Officer, Texas + West

The role

The Market Medical Officer is the clinical executive for the Texas + West 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
• Serve as the point of accountability for regional escalations
• Comply with all applicable laws and regulations
• Other duties 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 TX, AZ, MO, or OK
• 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

• 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
• Annual performance bonuses

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.