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Salary: USD 196,733 - 286,902 / annual
Oscar Health is seeking a Senior Director, Regional Actuarial to lead the Actuarial team's pricing function and drive the company's ACA Individual market strategies. This is a strategic leadership role reporting to the Vice President, Actuarial.
In this position, you will play an instrumental role in Oscar's enterprise pricing function, influencing and guiding a team to support the company's financial goals. You will collaborate closely with analytical and business leads across Finance, Market P&L, Insurance Product, Medical Economics, and Government Affairs to ensure progress toward strategic growth objectives.
Key responsibilities include:
- Driving the strategic vision for ACA pricing methodologies and overseeing the annual rate filing process (CMS and State DOIs) to ensure accuracy, regulatory compliance, and alignment with financial goals
- Owning significant financial forecasts and delivering executive-level presentations that translate complex actuarial insights into actionable recommendations for senior leadership
- Cultivating strategic partnerships across key business units and representing the Actuarial function in executive forums
- Leading complex analytics initiatives, including morbidity trend and competitive analyses, and applying learnings to influence enterprise-wide decision-making on pricing, business growth, and network strategies
- Supporting federal and state advocacy efforts and authoring actuarial thought leadership on ACA regulations to champion market stability
- Providing mentorship, coaching, and development planning for team members to promote continuous growth across the Regional Actuarial organization
Oscar is the first health insurance company built around a full-stack technology platform with a relentless focus on serving members. The company was founded in 2012 to create a health insurance company that behaves like a doctor in the family.
The position is fully remote and open to candidates residing in the U.S., excluding Alaska, Delaware, Hawaii, Louisiana, Montana, North Dakota, Oklahoma, West Virginia, Wyoming, and U.S. Territories. Occasional travel is required for team meetings and company events.
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 the Executive Leadership Committee
- Proven experience in a pricing role or a related analytics-driven leadership role
Bonus qualifications:
- 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 working 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
