Senior Data Scientist, Pharmacy

About the role

Hi, we're Oscar. We're hiring a Senior Data Scientist to join our Data team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

The Senior Data Scientist / Manager, Data Scientist supports our pharmacy benefit, developing data pipelines, models, and analytics that improve medication access, member experience, and plan affordability. Working with clinical, business, product, and engineering partners, you will lead projects in formulary optimization, utilization and population need trend analytics, and prior authorization automation.

You will report into the Senior Manager, Data Science.

Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid

Pay Transparency: The base pay for this role is: $163,944 - $215,176.50 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses.

Responsibilities:

Lead a small team responsible for creating, implementing, and maintaining data pipelines that connect how medications are covered, authorized, and paid for—from clinical requirements and drug metadata to claims transactions, manufacturer incentives, and member financial assistance. Ensure the accuracy, reliability, and timeliness of data flowing between our pharmacy benefit partners and internal systems. Develop new models while maintaining and enhancing existing capabilities through regular testing, validation, and refinement.

Design and develop clinical AI and ML applications, leading the experimental lifecycle, target development, and operationalization strategy. Apply rigorous data science practices to ensure performance is robustly measured, safety and observability are prioritized, and deployment decisions are grounded in clear clinical and operational success criteria.

Apply advanced analytics to evaluate complex financial and health outcome questions, helping partners understand the potential effects of changes to clinical policies, benefit design, and member programs. Develop models and scenario analyses to quantify tradeoffs, test assumptions, and characterize uncertainty, translating findings into actionable recommendations. Validate analytical methods and results to ensure conclusions are robust and appropriate for the decisions they inform.

Collaborate closely with data leaders and business teams to enhance overall data processes, and lead execution with your team. Understand their needs and requirements, provide data support, and work together to develop solutions that improve processes and outcomes. Partner with business and technical stakeholders to prioritize opportunities, define success metrics, and guide experiments through evaluation and implementation.

Manage junior data scientists, providing support and guidance for their day-to-day projects and managing their outcomes, performance, and personal development plans.

Compliance with all applicable laws and regulations.

Other duties as assigned.

Requirements:

A bachelor's degree or 6+ years of industry or educational experience in a technical field.

4+ years of work experience working with SQL, R, and/or Python to query, manipulate and analyze data

4+ years experience building data models and using more advanced analytics methods, including conducting in depth analysis, rather than simple descriptive analysis

1+ years of people management experience

4+ years of experience with statistical modeling and data processing/ETL pipeline building

2+ years of experience working with and presenting to non-technical stakeholders

Bonus points:

Experience in healthcare, finance or insurance industries, particularly pharmacy benefits or clinical operations.

Experience developing and deploying AI/ML applications involving unstructured documents, with rigorous evaluation and production monitoring.

Experience using statistical modeling to evaluate utilization trends, program effectiveness, or financial and health outcome tradeoffs, quantifying uncertainty.

A master’s degree in a quantitative field plus 3 years of relevant experience, or a PhD in a quantitative field.

This is an authentic Oscar Health job opportunity.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

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