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Salary: USD 71,539 - 93,895 / annual
Oscar Health is seeking an Actuarial Analyst II to join its Actuarial team and maintain valuation processes for Affordable Care Act (ACA) markets. In this role, you will be responsible for maintaining and reviewing actuarial models used to develop Incurred but not Reported (IBNR) projections and risk adjustment accruals. You will report to the Manager, Actuarial.
Key responsibilities include:
- Maintain and enhance core valuation models, ensuring consistency and standardization across team users
- Serve as a key contributor in developing and submitting regulatory filings, and develop viewpoints and recommendations for strategic valuation decisions
- Develop and provide recommendations for the accrual setting process with respect to IBNR claims, risk adjustment, and Shared Savings deals
- Identify and triage meaningful observations of experience across plan designs, providers, vendors, and markets
- Promote and shape Oscar actuarial best practices with respect to automation and documentation
- Maintain strong relationships and communication with internal and external stakeholders
- Aid in the onboarding of analysts by collaborating and integrating them into existing processes
- Ensure compliance with all applicable laws and regulations
The position is based in the Tempe, AZ office with a hybrid work schedule requiring 3 days of in-office work per week. Thursdays are mandatory for team meetings and events; the other two office days are flexible.
Requirements:
- Bachelor's degree in a STEM field
- Passed a minimum of two actuarial exams
- 2+ years of experience in a related field
Bonus qualifications:
- Experience with health insurance concepts and nuances
- Highly technical with strong enthusiasm for applying tech-forward methods in actuarial models
- Proficient in coding
