Remote Actuary — Value-Based Care & Network Economics

Oscar Health, Inc.; Tempe (AZ); Remote; USD 111,000 - 162,000; Full time

Job summary

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

This remote role supports Network Performance and VBC initiatives by developing analyses and financial models to inform provider arrangements and total cost of care (TCoC) initiatives. You will report to the Associate Director, Medical Economics, and collaborate with Finance, Clinical, and Claims Operations teams to evaluate deals, monitor results, and translate complex healthcare data into actionable recommendations.

Qualifications

• College degree in a STEM field.
• SOA Associate/Fellow status or in progress.
• 4+ years of quantitative analysis experience.

Responsibilities

• Develop, maintain, and enhance actuarial models for VBC arrangements and TCoC.
• Forecast deal performance and assess financial impact of alternative models.
• Monitor provider performance via reporting, benchmarking, and variance analysis.
• Partner with Network Contracting, Actuarial, Finance, Clinical, and Claims Operations teams to support contract evaluation and performance management.
• Translate complex data into concise insights for business partners and leadership.
• Strengthen actuarial practices by improving model documentation, QA controls, and automation.
• Support onboarding and knowledge sharing for analysts.
• Compliance with applicable laws and regulations.
• Other duties as assigned.

Skills

Quantitative analysis

SQL

Python

R

Data visualization

Education

STEM degree

Tools

SQL

Python

R

Job description

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

This remote role supports Network Performance and VBC initiatives by developing analyses and financial models to inform provider arrangements and total cost of care (TCoC) initiatives. You will report to the Associate Director, Medical Economics, and collaborate with Finance, Clinical, and Claims Operations teams to evaluate deals, monitor results, and translate complex healthcare data into actionable recommendations.