Careers at Oscar Health

Mission

Oscar Health aims to provide simple, accessible and comprehensive health insurance coverage to individuals, couples and families.

History

Oscar Health was founded in 2012 by Harvard Business School classmates Mario Schlosser (“Schlosser”), Kevin Nazemi and Josh Kushner (“Kushner”). Of these co-founders only Schlosser, the Company’s current Chief Executive Officer, retains an executive role at the Company.

According to several reports, the idea behind Oscar Health followed Kushner’s experience of trying to purchase health insurance. After receiving a quote that he struggled to understand, he began to develop a more accessible and simple method of providing health coverage.

Having already invested in a number of tech start-ups through his venture capital firm Thrive Capital, Kushner believed that contacts he had already established would be able to assist him in creating a health insurance business in the mould of tech giants Amazon and Spotify. His first step in this process was to bring on board Schlosser and Nazemi to help build the new company’s platform.

Oscar received began to attract seed funding in 2013 and launched its first formal round of funding in 2014, raising $80 million from investors including General Catalyst Partners, Khosla Ventures and Breyer Capital. 2014 was also the year that Oscar Health began insuring members in New York. The Company has since expanded to serve customers in New Jersey, California and Texas.

Oscar Health continues to post annual losses. It, however, has still been able to attract significant funding, raising a total of $727.5 million including form high-profile investors such as Google Capital and Goldman Sachs.

Business model of Oscar Health

Customer Segments

Oscar Health provides health insurance coverage to individual consumers, couples and families.

Oscar Health only serves customers in a handful of counties and states across the US. Its principal market is New York, the location of Company’s headquarters, where it has around 69,000 members. In 2015 the Company was reported to have a 10% market share for the health care exchange in New York. Oscar Health has also served customers in New Jersey since 2015, where it has around 28,000 members, and moved into parts of California and Texas in 2016. The Company, however, is reported to have had difficulty gaining traction in California, enrolling just 5,000 members in the Los Angeles and Orange County area.

Value Propositions

Oscar Health’s provides value to its customers through its simplified insurance products, the convenience and accessibility of its services, its use of technology, and its flexibility.

The Company offers custom quotes to its customers, which can be obtained either online or from direct sales representatives.

The Company allows its customers to use technology to track activity and health performance through its mobile app, which also enables members to contact qualified medical practitioners from anywhere.

Oscar Health’s key selling point is that it claims to simplify the notoriously complex process of buying health insurance, purporting to offer a no-surprise experience to its customers with easily understood insurance plans.

Channels

Oscar Health operates a website at www.hioscar.com, through which customers are able to generate a custom insurance quote, select an insurance plan and becoming an Oscar Health member.

In addition to its online channel, Oscar Health operates a hybrid sales model. The Company sells insurance plans to customers both directly through its own sales teams, through third-party partner brokers and through health insurance marketplaces. The Company’s products are available on health exchanges – organisations set up to facilitate the purchase of health insurance in accordance with the Affordable Care Act – in New York, New Jersey, California and Texas.

Oscar Health members are also provided access to the Company’s mobile application, available on iOS and Android, through which they are able to manage their health history – including doctor visits, and view prescriptions, and laboratory work.

Customer Relationships

Oscar Health’s health insurance products are available on a largely self-service basis, with customers able to get a custom quote, select a coverage plan and register an Oscar Health account via the Company’s website. Customers are also able to contact the Company’s sales team directly, in order to receive a more personalised service.

Oscar Health maintains a relationship with its members through its mobile app, which allows customers to manage their healthcare histories, contact doctors and arrange prescriptions. The Company also operates Facebook, YouTube, LinkedIn, Instagram and Twitter accounts through which it is able to interact directly with its members and keep them updated with company developments.

Key Activities

Oscar Health operates as a subsidiary of Mulberry Health. The Company provides a range of custom health insurance services to individuals, couples and families. Its plans cover a range of services and outcomes, including free doctor visits, free generic drugs, routine care services, immunisations, pregnancy screenings, and laboratory tests.

Oscar Health also provides its members with discounted rates for specialist visits, brand-name drugs, urgent care, and other common care needs, as well pregnancy, surgery, and recurring illness coverage.

Oscar Health’s insurance services are supplemented by the Company’s Doctor On Call, through which members are able to access short consultations with qualified doctors, enabling them to receive advice and prescriptions without leaving their home.

Key Partners

Oscar Health partners with a range of companies in the provision of its insurance products, principally comprising:

  • health insurance brokers, including independent sales agents and third-party insurance brokers;
  • healthcare providers, including primary care practices, hospitals, urgent care clinics, and pharmacies, as well as drug providers and pharmaceutical companies; and
  • healthcare practitioners spanning the entire medical sector, including primary care physicians, psychiatrists, dermatologists, orthopaedic surgeons, cardiologists and dentists.

Among Oscar Health’s partners are Tenet Healthcare, Baylor Scott & White Health, Jacobi Medical Centre, Coney Island Hospital, Nassau University Medical Centre, and Plainview Hospital.

Oscar Health also has a tie-up with technology company Misfit, which provides Oscar Health-branded activity tracking products for the Company’s members.

Key Resources

Oscar Health’s key resources are its network of provider and broker partners, its mobile customer relationship platform, and its personnel.

The Company employs a workforce of almost 200, of which its sales staff play a key role.

Oscar Health does not have any patent applications filed with the US Patent and Trademark Office.

Cost Structure

Oscar incurs costs in relation to the payment of medical and network fees, maintenance and operation of its offices, implementation of marketing and advertising campaigns, and retention of its personnel – who number around 185 as of April 2015.

Oscar accrues substantial costs in the form of medical bills and start-up costs as it expands into new states and counties. Chief Executive Officer Schlosser attributed the Company’s 2015 losses evenly to start-up and expansion costs and New York medical losses.

Oscar, as a newly-established insurance firm, has also had to pay high fees for access to health networks and hospital contracts. These costs, however, are expected to decrease once the Company’s initial high-fee contracts have expired and new agreements can be negotiated.

Revenue Streams

Oscar Health generates revenue through the provision of health insurance plans that cover routine and specialist care provisions, as well as through a Doctor On Call service that enables customers to access short consultation over the phone. The Company’s plans are priced on a case-by-case basis.

As a privately-owned company Oscar Health does not publicly disclose its financial results. However, the reports have attempted to estimate the Company’s revenue figures using available figures. Coverage in 2016 suggested the Company has around 145,000 customers, with each customer paying an average of $5,000 per year, resulting in an approximate annual revenue of $750 million.

While Oscar Health continues to attract investors it is yet to make a profit, with operating and set-up costs outstripping the Company’s revenue generation. The Company was reported to have lost around $105.2 million in 2015.

Our team

Mario Schlosser,
Co-Founder and Chief Executive Officer

info: Mario has served as Oscar Health’s Chief Executive Officer since co-founding the Company in 2012. He is also a co-founder of financial services provider Sofin Corporation. Schlosser began his career in 2002 as a fellow senior associate at McKinsey and Company. In 2006 he founded Vostu, a social gaming company in Brazil, of which he served as Chief Scientist for six years. In 2007 he also joined Bridgewater Associates as a senior investment associate, a role he held for almost three years. Before co-founding Oscar Health, Schlosser served briefly as a research associate in the MIT Media Lab’s Social Computing Group. He holds a master’s degree in Electrical Engineering from the University of Hannover and a master’s degree in Business Administration from Harvard Business School.

Dave Henderson,
President of Insurance

info: Dave has served as Oscar Health’s President of Insurance since 2012. He has previously held a number of senior executive roles, with a principal focus on healthcare marketing. He began his career in 1987 as a marketing manager at Fallon Community Health Plan. After five years he moved to CIGNA Healthcare as Vice President of Sales and Marketing, a position he held for just over six years before serving briefly as Senior Vice President and Chief Marketing Officer at HealthFirst. In 2005 Henderson was appointed Chief Marketing Officer at CDPHP. He stayed in this position for just under two years before assuming an equivalent role at MVP Health Care in 2007. Prior to joining Oscar Health, Henderson had a brief short spell as Chief Operating Officer at IkaSystems before returning to MVP Health Care as Chief Marketing Officer. Henderson holds master’s degree in Business Administration of Western New England University.

Kevin Campbell,
Chief Operating Officer

info: Kevin has served as Chief Operating Officer at Oscar Health since 2015. According to his corporate networking profile, he also continues to serve as Co-Chief Operating Officer at Bridgewater Associates. Campbell has previously held a number of senior leadership positions, including President of Exult, Head of Sales at Hewitt Associates, and Group Chief Executive for Outsourcing at Accenture. His last significant executive role prior to joining Oscar Health was as Accenture’s Group Chief Executive for Technology. Campbell holds a bachelor’s degree from the Boston College School of Management.

Jobs at Oscar Health

Project Manager, Population Health
New York, New York, United States
Job Description: Hi, we're Oscar. We’re hiring a Project Manager to join our Population Health team in our New York office. Oscar is a technology-driven, consumer-focused health insurance startup founded in 2012 and headquartered in New York City. Our goal is to make health insurance simple, transparent, and human. We need your help to do so. About the role: Oscar’s Population Health team aims to understand members holistically, and designs new experiences to improve their health and the affordability of their care. We do so by designing, piloting, rigorously evaluating, and scaling a variety of member and provider-facing initiatives aimed at: (1) keeping our members healthy, (2) optimizing care for members with chronic conditions and, (3) supporting care coordination for members with acute conditions. We’re looking for a Project Manager to take projects within our portfolio of health care initiatives from idea to reality. You will design and pilot cross-functional interventions oriented around clear healthcare value opportunities, leveraging all of Oscar’s inbound and outbound execution channels (human and digital). You will work alongside data scientists, statisticians, nurses, doctors, and designers and will report directly to the Associate Director of Population Health Initiatives. You will: Use data to experiment and iterate on ways to solve complex healthcare problems impacting Oscar members Set clear goals, timelines and milestones for your work and collaborate with individuals across the company to achieve them Break down unstructured problems and develop a plan to address each component systematically Hit the ground running by launching a new project to help members optimize their drug regimens and save on their prescription spend Be willing to fail fast and often, but always rigorously evaluate your work to understand why and apply learnings to future efforts About you: You have a passion for breaking down unstructured healthcare problems and understanding complex issues with a data-driven approach You are comfortable with ambiguity and gravitate toward creative solutions for complex problems You are proficient in Excel and have a basic to intermediate understanding of SQL You enjoy switching in and out of business, statistical, clinical and social ways of thinking You have a Bachelor’s Degree from an accredited university and 3-5 years of work experience performing analytical work and/or driving complex, cross-functional initiatives Bonus points: You have knowledge of health care, health economics, health policy, or health insurance through prior work experience and/or a Masters degree You are comfortable with programming, statistics and other technical disciplines You have worked in a tech or start-up environment Life at Oscar: Our more than 1,000 employees aim to make health care affordable and accessible for all. We apply this same vision to our perks and benefits, including: medical benefits, generous paid-time off, paid parental leave, retirement plans, company social events, stocked kitchens, wellness programs, and volunteer opportunities. 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 your unique background and perspectives. 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. Pay Transparency Policy Oscar ensures that you won't be discharged or discriminated against based on whether you've inquired about, discussed, or disclosed your pay. Read the full policy here. Clinical Startup
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Post Acute Care Community Health Worker
Houston, Texas, United States
Job Description: What is the position?We are looking for a Community Health Worker to help care for Oscars’ most complex members. Oscar’s Community Health Worker (CHW) will serve as an advocate for the health needs of our members by visiting members in their own homes, or in health care facilities in order to build personal and trusting relationships. By working closely with a Clinical Case Manager, the CHW will act as an advocate to implement the Post-Acute Care program initiatives that aim to promote, maintain, and improve the overall health of the member. The CHW should have excellent knowledge of Oscar’s benefits policies and develop a deep understanding of Oscar’s Network.  They will have the support and resources of Oscar’s CCM team to help guide our complex members to the optimum level of care. Deliverables: What you have to achieveImplement Care PlanningResponsible for establishing trusting relationships with patients and their families while providing general support and encouragement.Implement the Case Manager’s outcome-based plan of care, based on the member’s input, with anticipated targeted dates for completionDiscuss members’ care plans as needed with the Case Manager, and regularly at biweekly meetingsIdentify and address psychosocial needs of the members and family (Training will be provided)Communicate and document each member’s progress in an organized, goal oriented mannerMaintain a comprehensive list of available wellness and other community programs available to members and facilitate referral of member to resourcesMember EngagementConduct in-home and/or facility visits to engage and educate the member (and their family/caregivers) Be available (during work hours) to take incoming phone calls from assigned members Work closely with the case manager to help ensure that members have comprehensive and coordinated care. Follow-up with members should be continuous from initial identification through closure.Care TransitionsResponsible for the coordination of post-discharge clinic appointments, PCP and specialist visitsFacilitate appropriate referrals to Social Worker for transition of care to Medicare or Medicaid when appropriate Works with Case Manager to ensure care plans are updated based on a member’s changing clinical condition. Ability to communicate medical information to health care professionals and care coordinators over the telephone. Winning factors: What leads to successMust-have qualifications and expertise include:Possession of a valid driver's license in order to travel to visit members CHW certification required from approved Community Health Certification Program, or two years of equivalent work experience and ability to obtain CHW certification within first year of employment.Minimum of  2 years experience directly related to the duties and responsibilities specified We think it will make a big (positive) difference if you... First and foremost, are passionate about helping and supporting complex patientsExcited to practice member service work in unconventional ways Previous healthcare experience (ex: (MA, EMS) Are technologically savvy and excited about how technology can change how we deliver care Want to practice in a team-based setting where other clinical and non-clinical team members collaborate to make decisions and care for patients Get excited about setting up new systems and thinking outside the boxHave experience working in a multicultural setting.Are fluent in SpanishHave good communication skills, such as listening well, and using language appropriatelyAre able to work independently with minimum oversight Knowledge of JIRA system  At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we work to cultivate an environment where exceptional people can be their most authentic selves and find both belonging and support. We're on a mission to change healthcare -- an experience made whole by your unique background and perspectives.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.Pay Transparency Policy: Oscar's Pay Transparency Policy ensures that you won't be discharged or discriminated against based on whether you've inquired about, discussed, or disclosed your pay. Read the full policy here. Clinical Startup
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