Senior Director, Regional Actuarial

Oscar-Health-; New York (NY); Remote; USD 219,000 - 287,000; Full time

Job summary

Oscar Health is hiring a Senior Director, Regional Actuarial to shape pricing strategy and guide a high-impact analytics team. The role collaborates with Finance, Market P&L, Insurance Product, and Medical Economics to align pricing with strategic growth and risk management.

The position reports to the Vice President, Actuarial, with a fully remote US-based setup and occasional travel. Extensive experience in healthcare pricing and SOA credentials are required.

Qualifications

• Bachelor's degree or higher with actuarial qualifications (SOA).
• 12+ years of quantitative healthcare experience.
• Proven pricing leadership and executive communication skills.

Responsibilities

• Drive ACA pricing methodologies and oversee annual rate filings for CMS and DOIs.
• Own forecasts and deliver executive-level presentations for senior leadership.
• Build strategic partnerships across Market P&L, Finance and other units.
• Lead complex analytics on morbidity trends and competitive analyses.
• Support federal/state advocacy and actuarial thought leadership on ACA rules.
• Mentor and develop Regional Actuarial team members.
• Perform other duties as assigned.

Skills

Executive leadership

Pricing strategy

Strategic thinking

Cross-functional collaboration

Stakeholder management

Education

SOA Fellowship

Job description

Hi, we're Oscar. We're hiring a Senior Director, Regional Actuarial to join our Actuarial team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

The Senior Director, Regional Actuarial, plays an instrumental role in Oscar's enterprise Pricing function, influences and guides a team to drive actions in support of Oscar's ACA Individual market strategies and financial goals. As a key driver of pricing excellence within the organization, the Senior Director collaborates closely with analytical and business leads across Finance, Market P&L, Insurance Product, Medical Economics, and Government Affairs to ensure progress towards the company's strategic growth objectives. This role is also accountable for crafting high impact content, such as executive-level reporting and presentations, designed to inform senior leadership on pricing strategies and risks, market-level insights, competitive trends, and macro market dynamics.

You will report to the Vice President, Actuarial.

Work Location: This 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. Daily work is completed from your home office, with occasional travel required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $218,592 - $286,902 per year. The base pay for this role in all other locations is: $196,733 - $258,212 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants and annual performance bonuses.

Responsibilities:

• ACA Strategy & Filings: Drive the strategic vision for ACA pricing methodologies and oversee the annual rate filing process (CMS and State DOIs) to ensure accuracy, regulatory compliance, and alignment with financial goals.
• Executive Advising & Reporting: Own significant financial forecasts and deliver executive-level presentations that distill complex actuarial insights into actionable recommendations for senior leadership.
• Cross-Functional Leadership: Cultivate strategic partnerships across key business units (e.g., Market P&L, Finance) and represent the Actuarial function in executive forums.
• Advanced Analytics & Growth: Lead complex analytics initiatives, including morbidity trend and competitive analyses. Apply learnings to influence enterprise-wide decision-making on pricing, strategic business growth and network strategies.
• Advocacy & Thought Leadership: Support federal and state advocacy efforts and author actuarial thought leadership on ACA regulations to champion market stability.
• Team Mentorship & Development: Provide mentorship, coaching, and development planning for team members to promote continuous growth and learning across the Regional Actuarial organization.
• Other duties as assigned.

Requirements:

• Bachelor's degree in a STEM field, or 4 years commensurate experience.
• 12+ years of quantitative analysis in the healthcare industry.
• Fellow of the Society of Actuaries (SOA), or on the track to become one.
• 5+ years of collaborating and influencing the Executive Leadership Committee.
• Proven experience in a pricing role, or a related analytics-driven leadership role.
• 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.

This is an authentic Oscar Health job opportunity.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team ([e-mail]) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy .

Create a Job Alert

Interested in building your career at Oscar Health? Get future opportunities sent straight to your email.

Accepted file types: pdf, doc, docx, txt, rtf

Enter manually

Accepted file types: pdf, doc, docx, txt, rtf

Are you authorized to work lawfully in the United States for Oscar? * Select...

Do you now, or will you in the future, require sponsorship for employment visa status (e.g., H-1B visa status, etc.) to work legally for Oscar in the United States? * Select...

Do you acknowledge the work location expectations listed on this job posting? * Select...

The work location expectations for this role is listed in the job postings under “Work Location”. This section includes any onsite related expectations and residency requirements.

Oscar Health is authorized to do business in many, but not all, states. If you are not located in or willing to relocate to a state where Oscar is registered, you will not be eligible for employment. The approved states for this role are listed in the job posting.

LinkedIn Profile

Website

How did you hear about this job?

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey.Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiringprocess or thereafter. Any information that you do provide will be recorded and maintained in aconfidential file.

As set forth in Oscar Health’s Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law.

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection.As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measurethe effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categoriesis as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.