Remote Actuary: Value-Based Care Modeling & Insights

Oscar Health, Inc.; New York (NY); Remote; USD 123,000 - 162,000; Full time

Benefits offered by this job

Employee benefits

Unlimited vacation

Annual performance bonuses

Job summary

Oscar Health, Inc. is seeking an Associate Actuary to join our Actuarial team.

The role supports Network Performance and value-based care initiatives by developing actuarial analyses, financial models, and performance insights that inform provider arrangements and total cost of care (TCoC). You will partner with Network Contracting, Actuarial, Finance, Clinical, and Claims Operations to evaluate deal economics, monitor results, and translate complex healthcare data into clear recommendations.

Qualifications

• College degree in a STEM field.
• Associate or Fellow of the Society of Actuaries (SOA), or on the track to become one.
• 4+ years of quantitative analysis experience.

Responsibilities

• Develop, maintain, and enhance actuarial models for VBC arrangements and TCoC initiatives.
• Forecast deal performance and assess financial impact of reimbursement models.
• Monitor provider and arrangement performance via recurring reporting and variance analysis.
• Partner with cross-functional teams to support contract evaluation and negotiation strategy.
• Translate complex claims, utilization, and financial data into concise insights for leadership.
• Improve model documentation, QA controls, reproducibility, and automation of analyses.
• Support onboarding and knowledge sharing for analysts.

Skills

Communication

Collaboration

Analytical thinking

SQL

Python

R

Education

STEM degree

SOA designation or on track

Tools

SQL

Python

R

Job description

Oscar Health, Inc. is seeking an Associate Actuary to join our Actuarial team.

The role supports Network Performance and value-based care initiatives by developing actuarial analyses, financial models, and performance insights that inform provider arrangements and total cost of care (TCoC). You will partner with Network Contracting, Actuarial, Finance, Clinical, and Claims Operations to evaluate deal economics, monitor results, and translate complex healthcare data into clear recommendations.