Senior Data Scientist, Utilization Management

New York, New York, United States

Full Time Senior-level / Expert
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Hi, we're Oscar. We’re hiring a Senior Data Scientist, Utilization Management to join our Data team. 

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

Oscar is restructuring health care to make it easy, affordable, and seamless for consumers to access high value care. Oscar’s data team is focused on pushing our understanding of this complex landscape. Insurance companies sit on a trove of data that is both broad and deep, spanning financial claims, clinical medical records, and rich product interaction data from our members. Connecting the dots across these datasets gives us unique insight into how the healthcare system functions and allows us to improve care coordination, better manage risk, build higher-performing provider networks, and create a standout consumer experience in our product. At Oscar, we are looking for bright and curious data minded individuals to join our team of 30+ researchers, data scientists, and analysts to leverage our efforts!

In this role, you’ll provide key data science and analytical partnership to the Utilization Management team. Utilization management is a key function of Oscar to ensure members receive affordable, high quality care. You will be building the backbone of our modeling approach to integrate with our homegrown utilization management platform and optimize our strategy in the domain.

You will report into an Associate Director, Data Science. This is a hybrid role, and you will work part of the time in the New York office and part of the time working remotely.

Responsibilities:

  • Quantify the direct and indirect costs and benefits of our Utilization Management program to define optimal options for clients
  • Build models to recommend where to loosen review requirements without incurring undue risk to improve member and provider experience
  • Design models to predict member level utilization of medical services
  • Partner with the Product and Engineering teams to determine opportunities for data model improvements and workflow optimization
  • Iterate on source of truth datasets for analytics and business use cases throughout the company
  • Serve as the anchor of the Utilization Management arm of the Data team, eventually managing a small team of junior Data Scientists

Requirements:

  • You have 6+ years of relevant work experience or a Master’s degree in a quantitative field with 4+ years of experience
  • You use data science tools like SQL and Python
  • You’re excited about being a decision-maker and a leader
  • You are able to navigate between high level strategic thinking and granular methods of problem solving
  • You know when to look outside the data to solve problems

Bonus points:

  • Knowledge of or previous work experience in health care, health economics, or health insurance

Life at Oscar: 

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.

We encourage our members to care for their whole selves, and we encourage our employees to do the same with comprehensive medical benefits, generous paid-time off, paid parental leave, retirement plans, company social events, stocked kitchens, wellness programs, and volunteer opportunities.

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 (accommodations@hioscar.com) to make the need for an accommodation known.

Pay Transparency Policy:

Oscar ensures that you won't be discharged or discriminated against based on whether you've inquired about, discussed, or disclosed your pay. Read the full policy here.

Life at Oscar: 

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.

We aim to make health care affordable and accessible for all, and apply this same vision to our perks and benefits, including: medical benefits, generous paid-time off, paid parental leave, retirement plans, company social events, stocked kitchens, wellness programs, and volunteer opportunities.

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 (accommodations@hioscar.com) to make the need for an accommodation known.

Pay Transparency Policy:

Oscar ensures that you won't be discharged or discriminated against based on whether you've inquired about, discussed, or disclosed your pay. Read the full policy here.

COVID-19 vaccine requirements for in-person work: 

To protect the health and safety of our employees, we require any employee conducting in-person work* to be fully vaccinated against COVID-19 by their start date. If you are unable to be vaccinated due to medical or protected religious reasons, please reach out to our Benefits team at accommodations@hioscar.com to submit an accommodations request.

*Note: In-person work includes: employees required to work from our offices, employees conducting sales work in the field and employees conducting at-home or in-person visits with members.

Job region(s): North America
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