Remote Senior Actuarial Manager: Risk Adjustment

Oscar Health; United States; Remote; USD 148,000 - 194,000; Full time

Benefits offered by this job

Unlimited vacation

Annual performance bonuses

Benefits package

Health benefits

Job summary

Oscar Health is seeking a Senior Manager, Actuarial - Risk Adjustment to join our Actuarial team. This fully remote role supports understanding the financial implications of the ACA risk adjustment program and assists with monthly close, forecasting, and analyses, reporting to the VP of Actuarial.

You will collaborate with cross-functional actuaries and data scientists, develop risk scoring models, and contribute to audits and best practices while maintaining strong stakeholder relationships

Qualifications

• 6+ years of quantitative analysis experience.
• Preference for ACA Risk Adjustment, ACA Pricing/MedEcon, or Non-ACA Risk Adjustment expertise.
• Strong understanding of health insurance concepts.

Responsibilities

• Live on the cutting edge by developing Oscar's ability to predict Oscar's risk scores and ACA market morbidity, working with a cross functional team of actuaries and data scientists.
• Showcase resourcefulness and creative thinking in sourcing new data for making Oscar and market level predictions in innovative ways.
• Maintain and evolve core risk adjustment reporting and forecast models.
• Conduct research and enhance Oscar's risk adjustment knowledge and capabilities, including views of both Oscar's membership and other carriers in the market.
• Key contributor in estimated risk adjustment transfer estimates for monthly closes and ongoing financial forecasts.
• Conduct various risk adjustment related analyses, including analyzing drivers of risk adjustment performance.
• Lead quarterly audit deliverables and maintain internal control compliance to support accurate financial reporting.
• Promote and shape Oscar actuarial best practices with respect to automation and documentation.
• Maintain strong relationships, rapport, and lines of communication with both internal and external stakeholders.
• Aid in the onboarding of analysts by collaborating and integrating them into existing processes.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Skills

Quantitative analysis

Health insurance concepts

Risk adjustment knowledge

Education

College degree or commensurate skills attainment

SOA Associate or Fellow

Job description

Oscar Health is seeking a Senior Manager, Actuarial - Risk Adjustment to join our Actuarial team. This fully remote role supports understanding the financial implications of the ACA risk adjustment program and assists with monthly close, forecasting, and analyses, reporting to the VP of Actuarial.

You will collaborate with cross-functional actuaries and data scientists, develop risk scoring models, and contribute to audits and best practices while maintaining strong stakeholder relationships