Manager, Medical Policy
Oscar Health(2 months ago)
About this role
The Manager, Medical Policy at Oscar leads the development and clinical oversight of evidence-based medical necessity criteria within the Office of Clinical Affairs. This role ensures medical policies for services, devices, and technologies are supported by current literature and national standards and serves as the clinical subject matter expert for evidence appraisal. The position reports to the Associate Director, Clinical Policy - Affordability and is based in Tempe, AZ with a hybrid work schedule.
Required Skills
- Clinical Research
- Policy Development
- Literature Review
- Health Technology Assessment
- Evidence Appraisal
- Medical Writing
- Team Management
- Stakeholder Coordination
- Regulatory Compliance
- Quality Assurance
+2 more
Qualifications
- Graduate Degree in Relevant Field
- Active Clinical License (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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