Manager, Medical Policy
Oscar Health(1 month ago)
About this role
The Manager, Medical Policy at Oscar leads the clinical research and development of evidence-based medical necessity criteria within the Office of Clinical Affairs, owning the end-to-end lifecycle of medical policies. This role serves as the clinical subject matter expert for evidence appraisal and supports alignment with regulatory and accreditation standards. The position reports to the Associate Director, Clinical Policy - Affordability and operates on a hybrid schedule based in the New York City office.
Required Skills
- Clinical Research
- Medical Policy
- Literature Review
- Evidence Appraisal
- Policy Drafting
- Technology Assessment
- Clinical Review
- Evidence Synthesis
- Team Management
- Regulatory Compliance
+6 more
Qualifications
- Graduate Degree in Healthcare/Public Health/Related Field
- Active Clinical License (e.g., RN, NP, PA)
About Oscar Health
hioscar.comOscar Health is a technology-driven health insurance company offering individual, family, and Medicare plans in select U.S. markets. It pairs insurance coverage with consumer-focused digital tools — a mobile app, telemedicine, and dedicated care teams — to simplify enrollment, care navigation, and claims management. Using data and provider partnerships, Oscar emphasizes preventive care, personalized support, and greater cost transparency for members.
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