Market Medical Officer

Oscar Health

. Serve as the clinical executive for the Atlantic region .

Posted 9/18/2026full-timeRemote • Arizona • United StatesSeniorLead💰 $261,565 - $343,304 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates extensive leadership in healthcare, with a focus on managed care, clinical outcomes, and operational strategy. Proven ability to optimize medical cost trends, enhance provider alignment, and collaborate with regulatory agencies.

Highest-signal resume keywords

12+ Years Leadership ExperienceManaged Care ExpertiseClinical Leadership ExperienceBoard Certification in MedicineMD or DO License

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Clinical Market Trend ManagementReimbursement Strategy OptimizationComplex Case ManagementUtilization ManagementCare ManagementNetwork Adequacy ComplianceOperational Strategy TranslationClinical Metrics ManagementProvider Alignment InitiativesCost Reduction Solutions

Soft Skills

CollaborationPartnership BuildingProblem SolvingLeadershipCommunication

Certifications & Qualifications

Board Certification in Internal MedicineBoard Certification in Family MedicineBoard Certification in General SurgeryBoard Certification in Emergency Medicine

Industry Keywords

HealthcareManaged CareClinical OutcomesRegulatory ComplianceHealth InsuranceProvider GroupsMarket PerformanceAffordabilityUtilization TrendsNetwork Gaps

About the role

Key responsibilities & impact

Serve as the clinical executive for the Atlantic region
Partner with P&L leadership to lead market performance, expand care access, and enhance affordability
Optimize medical cost trends and reimbursement strategies
Execute regional programs and bridge corporate operations with local provider leadership
Drive key clinical metrics for trend management and regional plan performance
Identify utilization trends and develop solutions to reduce overall spend
Build partnerships with health systems, physician groups, and community providers
Partner with Affordability, Utilization Management, Care Management, Claims, and other internal teams
Guide clinical initiatives that enhance provider alignment, care quality, and clinical outcomes
Resolve network gaps and access barriers
Collaborate with regulatory agencies and compliance teams on network adequacy and quality programs
Translate policy changes into operational strategy
Own regional escalations, appeals, grievances, and complex case management scenarios
Report to the Vice President, Clinical Affairs

Requirements

What you’ll need

12+ years of progressive leadership experience in healthcare
10+ years of experience in managed care with prior experience leading in a matrix environment
7+ years of clinical leadership experience in the role-specific market
7+ years of experience managing clinical market trends in health insurance or full-risk-bearing clinical provider groups
5+ years of clinical practice
Board certification in internal medicine, family medicine, general surgery, or emergency medicine; other fields will be considered
5+ years of experience leading teams
MD or DO with a current unrestricted license to practice medicine required in a state in the region (GA, NC, SC, NJ, NY, PA, VA)
Must maintain necessary credentials, including active board certification
Willing and able to obtain additional state licensure
Compliance with all applicable laws and regulations

Benefits

Comp & perks

Employee benefits
Unlimited vacation program
Company equity grants
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
Oscar's support for obtaining additional state licensure