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Associate, Pharmacy Policy Development

Remote

Hi, we're Oscar. We're hiring an Associate, Pharmacy Policy Development to join our Clinical Policy team.

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

About the role

The Associate helps Oscar develop and review our policies given the fast pace of changes in medical literature and standards. You will play an essential part in ensuring our members receive high quality care. You will take the lead in drafting, obtaining approval, and maintaining pharmaceutical and medical drug policies based on current clinical evidence and nationally-recognized standards.

You will report to the Manager, Pharmacy Policy Development.

Work Location:Ā 

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.Ā 

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.Ā 

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role is: $98,400 - $129,150 per year. You are also eligible for employee benefits, participation in Oscarā€™s unlimited vacation program, and annual performance bonuses.

Responsibilities

  • Review, develop, and amend our policies referencing standards of care, third party criteria, and other sources to ensure they support the most up to date standards, working in close partnership with our Pharmacy Operations team.Ā 
  • Track edits, amendments, evidence submissions and feedback in accordance with Clinical Policy operational standards
  • Track evidence submissions and feedback on policies, and prioritize policy updates
  • Develop an in-depth understanding of regulatory and quality requirements applicable to our programs
  • ā€¦
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Job Profile

Restrictions

Arizona California Colorado Connecticut Florida Georgia Illinois In-office work required for local residents Iowa Kentucky Maine Maryland Massachusetts Michigan Minnesota Missouri Must reside in one of the following states Must reside in specified states Nevada New Hampshire New Jersey New Mexico New York North Carolina Ohio Oregon Pennsylvania Rhode Island South Carolina Tennessee Texas Utah Vermont Virginia Washington

Benefits/Perks

11 paid holidays Annual performance bonuses Dental Disability Insurance Employee benefits Life and Disability insurance Medical Medical, dental, and vision benefits Paid holidays Paid parental leave Paid sick time Paid wellness time Paid wellness time and reimbursements Performance bonuses Unlimited Vacation Unlimited vacation program Vision Vision Benefits

Tasks
  • Compliance
  • Compliance with all applicable laws and regulations
  • Ensure compliance with regulations
  • Other duties as assigned
  • Training
Skills

C Clinical Clinical Policy Clinical Research Coding Communication Compliance Documentation Excel Health Insurance Medical Coding Medical Writing Operations Pharmacy Policy Development Prior authorizations Quality care Regulatory Regulatory Compliance Technology Technology Platform Training

Experience

3 years

Education

Certification Pharm.D