Oscar Health: Director, Pharmacy Operations Strategy & Integration — New York, New York, United States

About Oscar Health

Oscar Health is a health-insurance business built around a technology platform and member services. Its recruitment board also describes Oscar Medical Group activities in virtual health assessments and virtual care. Those notices reflect distinct parts of the wider operation: insurance products and member administration alongside clinical services. Technology, insurance operations and care delivery consequently appear in different roles on the board, with the employing team determining the service and professional responsibilities of an individual position.

The position and its setting

Oscar Health lists Director, Pharmacy Operations Strategy & Integration in New York, New York, United States, under reference 8249747. The details below separate the work described by the employer from essential conditions, preferred experience and practical preparation advice.

• Department: Member Programs
• Employer listing date: 10 October 2026

Responsibilities and work described

• The Director, Pharmacy Operations Strategy & Integration reports to the SVP, Pharmacy is responsible for shaping and executing Oscar's pharmacy operational excellence agenda for the Pharmacy Clinical Strategy and Operations area
• This role translates strategic priorities into a coherent portfolio of operating-model improvements, cross-functional programs, vendor capabilities, and scalable workflows that advance affordability, health outcomes, and the member and provider experience
• The Director serves as a connective leader across Pharmacy, Clinical, Product, Engineering, Finance, Actuarial, Concierge, Compliance, and PBM/vendor partners—aligning priorities, decisions, and execution to deliver measurable business impact
• This role balances enterprise affordability, member and provider experience, regulatory compliance, operational quality, and long-term scalability as Oscar advances its pharmacy operating model
• Report into the SVP, Pharmacy
• Work: Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week
• Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid
• Pay Transparency: The base pay for this role is: $180,504.00 - $236,911.00 per year
• You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants and annual performance bonuses
• Set the pharmacy operational excellence strategy, operating rhythm, and execution model, ensuring priorities are aligned to Oscar's enterprise agenda, Pharmacy objectives, affordability goals, and member and provider outcomes
• Leadership: high-priority pharmacy operational transformation initiatives from strategy through execution, including opportunity definition, roadmap development, operational readiness, launch planning, and sustained adoption
• Serve as a primary operational partner across internal and external teams, translating pharmacy and PBM opportunities, member and provider needs, and frontline insights into clear priorities, decisions, and measurable outcomes
• Stay aware of applicable PBM, pharmacy benefit, managed care, and healthcare regulatory requirements, interpreting the business need and communicating it clearly to internal and external partners so solutions are designed and implemented appropriately
• Maintenance: deep understanding of the pharmacy and healthcare ecosystem, including payer economics, benefit and network dynamics, claims processes, formulary operations, prior authorization workflows, utilization patterns, vendor handoffs, and the drivers of affordability and experience
• Partner with cross-functional internal stakeholders and external vendors to manage implementation plans, business reviews, strategic meetings, issue escalation, performance monitoring, and operational integration
• Coordination: cross-functionally across Clinical, Pharmacy Operations, Product, Engineering, Finance, Actuarial, Concierge, Compliance, and vendor partners to align decision rights, dependencies, tradeoffs, and delivery plans for high-priority pharmacy initiatives

Essential requirements and candidate background

• 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 from opportunity definition through launch and adoption
• 5+ years partnering directly with cross-functional business, Product, Engineering, vendor, or operations teams to set priorities, define requirements, influence solutions, and deliver business outcomes
• Experience interpreting regulatory, compliance, operational, or contractual business needs and translating them into actionable requirements for cross-functional partners
• Experience: strategic planning, roadmapping, business analysis, operational readiness, change management, and translating priorities into executable cross-functional plans
• Experience translating complex operational data and performance information into executive-level insights, recommendations, and governance materials
• Experience managing budgets, capacity models, business cases, or financial performance for operational or transformation initiatives

Education and qualification routes

• Degree / qualification: MBA, MPH, Master's degree in Business Administration or a related field preferred

Preferred experience and additional strengths

• Management consulting, internal strategy and operations, process engineering, Lean, Six Sigma, or similar structured problem-solving experience
• Experience: PBM implementation, pharmacy benefit administration, claims adjudication, formulary operations, prior authorization, rebate/formulary systems, or healthcare data feeds
• Experience working in a matrixed teams through enterprise transformation, implementation, or operational excellence work
• This is an authentic Oscar Health job opportunity
• Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience
• Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements
• Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts
• California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy

Location, schedule and contract conditions

For this overseas or regional listing, confirm work authorisation and any location restrictions with the employer. The location does not establish visa sponsorship or permission to work remotely from India.

• Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members
• We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family
• Advertised location: New York, New York, United States

Pay and application dates

A verified salary figure is not established in this article. An online estimate for another Director, Pharmacy Operations Strategy & Integration vacancy is not an offer for reference 8249747; use the employer’s own pay disclosure and recruitment communication.

A closing date is not confirmed in this article. Check the current employer page before submitting: an undated posting can change or be withdrawn.

How to apply to Oscar Health

Applications follow the official employer page linked below.

Open the official Oscar Health posting below and match the title and reference 8249747.

Compare your qualifications and experience with the essential conditions for the New York, New York, United States position, then read the preferred criteria separately.

Prepare an accurate CV and the supporting items requested in that employer’s application. Provide only information and documents you are authorised to share.

Use the employer’s application option, complete the required fields and review the submission. Retain the acknowledgement when one is provided. Job Alerts World does not receive the application.

Practical preparation: AI

An AI-related example should make the task and evaluation explicit. Explain the inputs, the system’s intended output and how you checked errors, usefulness or reliability, rather than relying on the model name alone.

Relevant skills

• AI/ML
• AI
• process improvement
• Lean
• Six Sigma
• pharmacy
• compliance
• insurance
• stakeholder management