UM Affordability & Value Analytics Manager

Oscar Health•New York City, NY

22h•Hybrid

About The Position

The Manager of Affordability & Value Analytics is heavily embedded in the financial oversight of the UM Strategy team. In this role, you are responsible for quantifying and communicating the financial impact of all UM initiatives. Your core goal is to ensure that strategic investments translate into measurable, defensible affordability outcomes. You will serve as the primary liaison between the UM business unit and the Medical Economics/Actuarial departments to ensure all investments are accurately sized and tracked. You will report into the Director, UM Authorization Strategy.

Requirements

4+ years of experience in program management
3+ years of experience in delivering projects / programs
3+ years of financial modeling

Nice To Haves

Experience with Medical Economics or Actuarial Science
Strong understanding of ACA market and UM impact on Risk Adjustment / Medical Loss Ratio
Experience using data and metrics to drive improvements in programs
Experience / background in a fast-paced operations environment
Successfully executed enterprise-wide initiatives: defined project plans, coordinated resources, managed implementation activities, and developed all processes associated with program rollout and ongoing support
Master’s Degree
PMP Certifications or Program Management Certifications
Lean/Six Sigma Certifications
Healthcare experience (Health Insurance, Health Systems, or Healthcare Consulting)

Responsibilities

Build complex financial modeling, actuarially sound models to size the impact of UM strategies
Represent the UM department within the broader organization's financial workstreams, ensuring UM initiatives are prioritized and recognized in the corporate savings pipeline.
Establish and maintain strong relationships with the Medical Economics and Data Science teams to develop vetted methodologies for tracking ROI.
Own the "Source of Truth" for the department's value tracking. You will monitor the performance of active initiatives and provide monthly "True-Up" reports comparing projected savings to actualized results.
Create data-driven frameworks to help leadership make "Go/No-Go" decisions on new strategic investments based on projected ROI and speed to value.
Collaboratively works with all relevant internal and external stakeholder groups to formulate proactive implementation, communications, and program strategies for successful change management and risk mitigation initiatives
May oversee team members directly as well as mentors team members and promotes colleagues' growth and professional development
Compliance with all applicable laws and regulations
Other duties as assigned