Senior Medical Director, Clinical Programs

Hi, we're Oscar. We're hiring a Senior Medical Director to join our Clinical Care Team

Oscar is the first health insurance company built around a full stack technology platform and a 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

You will spearhead the development of the Clinical Care Team (CCT) and Virtual Care Program's clinical strategy to enhance healthcare quality while managing costs. Responsibilities include analyzing healthcare data to assess financial impacts, collaborating with clinical leaders, and designing innovative care models. As a key liaison between various stakeholders, you'll provide expertise on clinical initiatives and drive improvements in healthcare outcomes and cost management.

You will report to the Senior Vice President, Clinical Care Teams & Virtual Care.

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.

If you live within commutable distance to our New York City office ( in Hudson Square), our Tempe office (off the 101 at University Ave), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change.

Pay Transparency:

The base pay for this role is: $280,800 - $368,550 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program, company equity grants and annual performance bonuses.

Responsibilities

• Develop and align overall Clinical Strategy across service lines with OHI mission and vision.
• Design and optimize workflows for care team members, ensuring licensure consistency.
• Ensure access to appropriate clinical services for all patients.
• Optimize service line scope, patient routing, and service offerings in collaboration with clinical, operational, and tech partners.
• Stay updated on industry developments, economic trends, and healthcare policies to inform decision-making.
• Provide oversight for the direction and evolution of the quality and safety program.
• Oversee quality processes across service lines to ensure high-quality clinical care.
• Support performance management planning and provide feedback for performance improvement opportunities.
• Drive Population Level Quality Outcomes for patients and populations to deliver Comprehensive and Cost-Effective care.
• Collaborate with stakeholders to improve healthcare cost management and provide data-driven recommendations for financial sustainability.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

Licensure:

• MD or DO with a current unrestricted license to practice medicine is required
• Must maintain necessary credentials to retain the position, including maintaining active board certification
• Willing and able to obtain additional state licensure (with Oscar’s support)

Experience:

12+ years of experience in the healthcare industry, including:

• 5+ years of clinical practice and board certified in one of the following fields: internal medicine, family medicine, general surgery, emergency medicine (other fields will be considered)
• 7+ years experience leading people and teams
• 5+ years experience with clinical operations/clinical strategy

Bonus Points

Licensure:

• Licensure in multiple Oscar states
• Masters degree or advanced certificate

Experience:

• Experience with conducting quality-of-care investigations and peer reviews and developing performance improvement plans.

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

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.

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 ([email protected]) to make the need for an accommodation known.