VP, Clinical Strategy & IntegrationActive$264K–$347K

Hi, we're Oscar. We're hiring a VP, Clinical Strategy & Integration.

What you'll do

• "Consumer First" clinical strategy development: Partner with the CHO to develop, maintain and continuously evolve Oscar's clinical strategy, defining how Oscar becomes a more holistic, member-centric organization that manages members across their total cost and experience of care.

• Clinical affordability portfolio: Own the clinical affordability agenda by identifying, sizing and prioritizing opportunities to improve total cost of care while maintaining or improving member outcomes and experience; ensure each initiative has a clear rationale, accountable owner, execution path and measure of success.

• Healthcare ecosystem rigor: Apply a deep understanding of the U.S. healthcare ecosystem, including payer economics, care delivery, provider behavior, benefit and network dynamics, utilization, pharmacy, regulatory constraints and medical cost drivers, to pressure-test strategies and ground innovation in how healthcare actually works.

• Strategic alignment and enterprise integration: Integrate clinical strategy into Oscar's broader business agenda across Product, Technology, Network, Affordability, Finance, Growth, operations and other functions; clarify decision rights, dependencies and tradeoffs required to deliver enterprise objectives.

• Clinical organizational integration and vision: Define how clinical capabilities, including Virtual Care, Case Management, Pharmacy, Utilization Management, Provider Network and Member Experience, should work together as a coherent, end-to-end member experience rather than as disconnected functions.

• Cross-functional program development: Architect and mobilize high-priority cross-functional programs required to realize the clinical strategy and affordability agenda; translate strategic priorities into roadmaps, milestones, owners, dependencies and governance mechanisms.

What they're looking for

• Strategy-to-execution accountability: Ensure execution by monitoring progress and outcomes, surfacing risks, resolving cross-functional barriers, escalating decisions when needed and holding leaders accountable for delivery without becoming the tactical owner of every workstream.
• Performance analytics and insights: Establish the performance framework for clinical strategy and affordability, synthesizing clinical, operational, member and financial data into insights that inform priorities, investment decisions, portfolio performance and value realization.
• Technology and capability partnership: Partner with Technology, Product and Clinical leadership to identify the systems, tools, data capabilities and workflows required to support the clinical strategy; prioritize capabilities based on member impact, affordability value, feasibility and scalability.
• Management process and governance: Lead the clinical strategy governance model, including operating cadence, decision forums, portfolio reviews, KPI tracking and executive updates such as Clinical Quarterly Business Reviews.