Hi, we're Oscar. We're hiring a Behavioral Health Utilization Management Medical Director to join our Member Strategy & Ops 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.
You will determine the medical appropriateness of behavioral health services by reviewing clinical information and applying evidence-based guidelines. This role is required to meet Oscar's contractual services to Cigna as part of our C+O partnership, for which Oscar is delegated for behavioral health utilization management services. The services performed by this role are central to both the compliance and accreditation of Oscar's utilization management program.
You will report to the VP Medical Director, Member Programs. This is a remote / work-from-home role. You must reside in one of the following states: Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Maryland, Massachusetts, Michigan, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, Tennessee, Texas, Utah, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote
The potential base pay for this role is: $254,232 - $333,680
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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..
Final offer amounts are determined by multiple factors including geographic location and candidate experience, and may vary from the pay range amounts listed above.
You may be eligible for additional compensation and benefits including: company equity, performance bonuses, sales commissions, medical, dental, and vision benefits, paid-time off, sick time, paid parental leave, retirement plans, life and disability insurance, and wellness reimbursements.
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 (firstname.lastname@example.org) to make the need for an accommodation known.
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 email@example.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.