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Salary: USD 196,733 - 286,902 / annual
Oscar Health is seeking a Senior Director, Actuarial - Risk Adjustment to lead the company's ACA risk adjustment actuarial function. This role is responsible for financial reporting, forecasting, and strategic analysis of risk adjustment performance and its financial implications for the organization.
You will manage a team and collaborate across Finance, Market P&L, Risk Adjustment Operations, Medical Economics, and Data Science to inform business strategy and financial disclosures. Key responsibilities include leading ACA risk adjustment financial reporting and forecasting (monthly close, external audits, regulatory reviews), developing strategic insights on Oscar's risk scores and risk adjustment performance, analyzing market morbidity drivers and their financial implications, delivering executive-facing reporting and presentations that translate complex actuarial insights into actionable recommendations, building strategic partnerships across business units, directing advanced analytics initiatives to shape pricing and business growth strategies, and leading and developing a team of actuarial professionals.
You will report to the Vice President, Corporate Actuarial. This is a fully remote position open to US candidates, excluding Alaska, Delaware, Hawaii, Louisiana, Montana, North Dakota, Oklahoma, West Virginia, Wyoming, and US Territories. Occasional travel is required for team meetings and company events.
Oscar is the first health insurance company built around a full-stack technology platform with a focus on serving members through innovative, technology-enabled health insurance.
REQUIREMENTS:
- Bachelor's degree in a STEM field, or 4 years of commensurate experience
- 12+ years of quantitative analysis in the healthcare industry
- 5+ years of collaborating and influencing an Executive Leadership Committee
- Proven experience in a pricing role or related analytics-driven leadership role
- Strong government programs risk adjustment subject matter expertise, preferably in ACA Marketplace
BONUS QUALIFICATIONS:
- Extensive experience leading actuarial financial reporting, including claims reserving and risk adjustment
- Qualified (or willing to become qualified) to serve as appointed actuary per American Academy of Actuaries' Specific qualification standard
- Excellent communication, collaboration, and relationship-building skills
- Strong process management skills with experience streamlining workflows and driving operational efficiency
- Collaborative and influential leadership style with experience partnering across multiple teams and stakeholders
- Strong familiarity with ACA-specific healthcare laws, regulations, and compliance requirements
- Fellow of the Society of Actuaries (SOA), or on track to become one
