$254,232 - $333,680 yearly
Oscar
Remote
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.
About the role
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 /...