Market Medical Officer

Oscar Health

. Drive performance of key clinical metrics for regional trend management and market performance .

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 clinical performance, managed care, and strategic partnerships. Proven ability to drive clinical initiatives, manage trends, and ensure compliance while enhancing provider alignment and care quality.

Highest-signal resume keywords

12+ Years Leadership Experience In Healthcare10+ Years Managed Care Experience7+ Years Clinical Leadership ExperienceBoard Certification In Internal Medicine, Family Medicine, General Surgery, Or Emergency MedicineMD Or DO With Current Unrestricted 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 Metrics ManagementUtilization ManagementNetwork ContractingClinical Outcomes ImprovementComplex Case ManagementOperational Strategy DevelopmentRegulatory ComplianceTrend AnalysisAccess Barrier ResolutionGrievance Management

Soft Skills

Strategic Partnership BuildingCollaborationLeadershipProblem SolvingCommunication

Certifications & Qualifications

Board CertificationActive Medical License

Industry Keywords

HealthcareManaged CareClinical PracticeHealth InsuranceProvider GroupsRegulatory AgenciesComplianceMarket TrendsClinical InitiativesNetwork Adequacy

About the role

Key responsibilities & impact

Drive performance of key clinical metrics for regional trend management and market performance
Partner with Medical Economics to identify utilization trends and develop solutions to reduce overall spend
Build strategic partnerships with health systems, physician groups, and community providers
Serve as regional clinical partner with Affordability, Utilization Management, Care Management, Claims, and other internal teams
Guide clinical initiatives with Network Contracting leadership to enhance provider alignment, care quality, and clinical outcomes
Identify and resolve regional network gaps and access barriers
Collaborate with regulatory agencies and compliance teams on network adequacy and quality programs
Translate policy changes into operational strategy protecting member access and organizational performance
Own regional escalations, including appeals, grievances, and complex case management scenarios
Report to the VP of Clinical Affairs
Perform other responsibilities as assigned

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 a 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, emergency medicine, or another considered field
5+ years of experience leading teams
MD or DO with a current unrestricted license to practice medicine required in a state in the region
Maintain necessary credentials, including active board certification
Willing and able to obtain additional state licensure with Oscar's support
Compliance with 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 and disability insurance
Paid wellness time and reimbursements
Occasional travel for team meetings and company events