💼 About This Role

You'll determine the medical appropriateness of inpatient, outpatient, and pharmacy services at Oscar Health, a full stack technology platform health insurance company. Your core impact is ensuring evidence-based clinical decisions while supporting member care.

🎯 What You'll Do

• Provide timely medical reviews meeting quality parameters
• Make clinical determinations based on evidence-based criteria
• Document communication and decision-making clearly
• Conduct peer-to-peer discussions with treating providers

📋 Requirements

• Board certification as an MD or DO
• Licensed in FL, NC, AZ or active IMLC
• 6+ years of clinical practice

✨ Nice to Have

• Licensure in multiple Oscar states
• 1+ years of utilization review in managed care
• BC in Cardiology, Radiation/Oncology, or Neurology

🎁 Benefits & Perks

• 🏖️ Unlimited vacation
• 💰 Annual performance bonuses
• 🏥 Medical, dental, and vision benefits
• 👶 Paid parental leave
• 📈 401(k) plan participation

📨 Hiring Process

Estimated timeline: 2-4 weeks · AI estimate

1. 1Recruiter Screen· 30 min
2. 2Hiring Manager Interview· 45 min
3. 3Technical Assessment· 60 min