Manager, Medical Policy

Oscar Health(1 month ago)

RemoteFull TimeManager$131,200 - $172,200Medical Policy (Office of Clinical Affairs)

About this role

The Manager, Medical Policy will lead clinical evidence development and policy stewardship within Oscar’s Office of Clinical Affairs to ensure coverage criteria are evidence-based and aligned with standards. This role serves as the clinical subject matter expert for medical necessity criteria, supports quality and compliance efforts, and partners with clinical and operational stakeholders. The position reports to the Associate Director, Clinical Policy - Affordability and oversees clinical team members and contributors.

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Required Skills

Medical Policy
Clinical Research
Literature Review
Evidence Appraisal
Health Technology Assessment
Medical Writing
Policy Drafting
Team Leadership
Stakeholder Management
Regulatory Compliance

+4 more

Qualifications

Graduate Degree in Healthcare Administration, Public Health, Health Policy, Health Services Research, Epidemiology, or Nursing
Active Unrestricted Clinical License (RN, NP, PA)

About Oscar Health

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Oscar 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.