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Salary: USD 147,550 - 215,177 / annual
Oscar Health is seeking a Senior Manager, Actuarial - Risk Adjustment to join its Actuarial team. Oscar is a health insurance company built on a full-stack technology platform, founded in 2012 with a focus on member-centric service.
In this role, you will be a key player in helping Oscar understand the financial implications of the ACA's risk adjustment program. You will support multiple aspects of the actuarial team's risk adjustment work, including monthly financial close, ongoing forecasting, and various analyses. This is a dynamic space offering opportunities to work on impactful projects.
You will report to the VP, Actuarial and will be responsible for:
- Developing Oscar's ability to predict risk scores and ACA market morbidity, working with cross-functional teams of actuaries and data scientists
- Sourcing new data and making Oscar and market-level predictions in innovative ways
- Maintaining and evolving core risk adjustment reporting and forecast models
- Conducting research to enhance Oscar's risk adjustment knowledge and capabilities
- Contributing to estimated risk adjustment transfer estimates for monthly closes and financial forecasts
- Analyzing drivers of risk adjustment performance
- Leading quarterly audit deliverables and maintaining internal control compliance
- Promoting actuarial best practices with respect to automation and documentation
- Maintaining strong relationships with internal and external stakeholders
- Aiding in the onboarding of analysts
This is a fully remote position 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:
- College degree or commensurate skills attainment
- Associate or Fellow of the Society of Actuaries (SOA)
- 6+ years of quantitative analysis experience
Bonus qualifications:
- ACA Risk Adjustment, ACA Pricing/MedEcon, or Non-ACA Risk Adjustment expertise
- Strong understanding of health insurance concepts and nuances
