About the company
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving its members.
About the role
The Director, Pharmacy Operations Strategy & Integration reports to the SVP, Pharmacy and is responsible for shaping and executing Oscar's pharmacy operational excellence agenda for the Pharmacy Clinical Strategy and Operations area.
Responsibilities
- Set the pharmacy operational excellence strategy, operating rhythm, and execution model
- Lead high-priority pharmacy operational transformation initiatives from strategy through execution
- Serve as a primary operational partner across internal and external teams
- Stay aware of applicable PBM, pharmacy benefit, managed care, and healthcare regulatory requirements
- Maintain deep understanding of the pharmacy and healthcare ecosystem
- Partner with cross-functional internal stakeholders and external vendors
- Coordinate cross-functionally across Clinical, Pharmacy Operations, Product, Engineering, Finance, Actuarial, Concierge, Compliance, and vendor partners
- Serve as an internal consultant to diagnose complex process, data, technology, and vendor friction points
- Shape the end-to-end member and provider experience
- Lead governance and executive reporting for pharmacy operational excellence initiatives
- Identify and manage implementation risks, dependencies, decisions, and change-management needs
- Build repeatable operating playbooks, process standards, controls, and best practices
- Support capacity planning, budget management, business-case development, and value realization measurement
Requirements
- 10+ years of experience in healthcare, business operations, strategy and operations, product operations, or program leadership
- 7+ years of Managed Care, PBM, pharmacy operations, clinical operations, or related healthcare payer experience
- 5+ years leading large-scale, cross-functional strategy, operational transformation, or implementation initiatives
Conditions
- Hybrid work schedule with 3 days of in-office work per week
- Base pay: $180,504.00 - $236,911.00 per year
- Employee benefits, unlimited vacation program, company equity grants and annual performance bonuses