Manager, Medical Economics Tooling

Oscar Health

. Design and build dashboards, business-intelligence solutions, reusable metric logic, curated datasets, recurring analyses, and automation .

Posted 9/23/2026full-timeRemote • United StatesMid-LevelSenior💰 $122,213 - $160,404 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates advanced proficiency in SQL and Python for developing business intelligence solutions and dashboards, while translating complex stakeholder requirements into actionable analytical designs. Possesses strong knowledge of healthcare data, medical claims coding, and compliance with applicable regulations.

Highest-signal resume keywords

Advanced SQL ProficiencyPython ProgrammingHealthcare Data AnalysisMedical Claims CodingBusiness Intelligence Solutions

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Quantitative AnalysisData DevelopmentTechnical DesignData TransformationAutomated TestingVersion ControlComplex Decision-Support SolutionsDashboard DevelopmentMetric LogicFinancial Performance Analysis

Soft Skills

Stakeholder CommunicationMentoringCollaborationProblem-SolvingRequirements Prioritization

Tools & Technologies

LookerTableauPower BICI/CDWorkflow Orchestration

Certifications & Qualifications

Associate of the Society of ActuariesFellow of the Society of Actuaries

Industry Keywords

Medical EconomicsHealth InsuranceCPT/HCPCSICD-10DRGsRisk AdjustmentFinancial Performance DataComplianceHealthcare CodingPayer Environment

Tech Stack

Tools & technologies

PythonSQLTableau

About the role

Key responsibilities & impact

Design and build dashboards, business-intelligence solutions, reusable metric logic, curated datasets, recurring analyses, and automation
Use BI and data-development tools, including SQL, Python, or comparable code, to make medical cost, utilization, membership, risk, and financial performance transparent and actionable
Translate stakeholder requirements into clear technical designs
Translate approved actuarial and health-insurance methodologies into maintainable analytical solutions
Preserve approved definitions, denominators, completion approaches, risk-adjustment conventions, and financial tie-outs
Own complex solutions through requirements, prototyping, development, testing, user acceptance, deployment, monitoring, maintenance, and enhancement
Make technical decisions balancing speed, usability, reuse, reliability, and maintainability
Partner with Medical Economics, Actuarial, Finance, Data, BI, operational, and business stakeholders
Define audiences and success measures, prioritize requirements, manage dependencies, and resolve tradeoffs
Strengthen validation, code review, and documentation standards
Ensure data freshness, cross-product and financial tie-outs; implement release controls and change management
Develop plans to replace or retire legacy assets
Identify appropriate opportunities for reusable AI-enabled workflows
Review designs and code, guide matrixed contributors, and mentor colleagues
Communicate completed solutions and insights through recurring operational and executive readouts
Represent Medical Economics in cross-functional forums
Escalate material roadmap conflicts, dependencies, and decisions requiring leadership alignment
Report to a Senior Director in the Medical Economics department
Perform other duties as assigned

Requirements

What you’ll need

Bachelor's degree in a quantitative or technical field
5+ years of quantitative analysis, business intelligence, actuarial, Medical Economics, healthcare data, or related experience; and/or significant experience in health insurance or another payer environment
Strong knowledge of medical claims and healthcare coding, including CPT/HCPCS, ICD-10, and DRGs
Knowledge of pharmacy, authorization, membership, premium, risk adjustment, completion, or financial-performance data
Advanced hands-on proficiency with SQL
Proficiency with at least one general-purpose programming language, such as Python
Compliance with all applicable laws and regulations
Candidates must reside in the U.S., excluding Alaska, Delaware, Hawaii, Louisiana, Montana, North Dakota, Oklahoma, West Virginia, Wyoming, and U.S. Territories
Bonus: advanced experience with quantitative problem-solving, coding, technical design, and complex healthcare or financial concepts
Bonus: experience owning complex decision-support solutions from requirements through launch and maintenance
Bonus: experience designing, building, deploying, and operating dashboards, recurring analyses, data products, or shared metric content
Bonus: software-development practices including version control, modular and reusable code, code review, automated testing, release controls, and technical documentation
Bonus: translating ambiguous business needs and quantitative methodologies into technical designs, data models, component boundaries, priorities, and delivery plans
Bonus: leading work across multiple teams or matrixed contributors
Bonus: modern BI or visualization platform experience such as Looker, Tableau, or Power BI
Bonus: data-transformation frameworks, workflow orchestration, CI/CD or release automation, and performance or reliability optimization
Bonus: governed metric definitions, shared dimensions and measures, monitoring, or shared quantitative infrastructure
Bonus: AI-assisted or large-language-model tools for software development, data analysis, or insight generation
Bonus: Associate or Fellow of the Society of Actuaries, or progress toward an SOA credential

Benefits

Comp & perks

Employee benefits
Oscar's unlimited vacation program
Annual performance bonuses
Medical benefits
Dental benefits
Vision benefits
11 paid holidays
Paid sick time
Paid parental leave
401(k) plan participation
Life insurance
Disability insurance
Paid wellness time
Wellness reimbursements
Occasional travel for team meetings and company events