Senior Manager, Actuarial - Risk Adjustment

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Quick Summary

Key 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.

Requirements Summary

College degree or commensurate skills attainment. Associate or Fellow of the Society of Actuaries (SOA). 6+ years of quantitative analysis experience.

Technical Tools

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Hi, we're Oscar. We're hiring a Senior Manager, Actuarial - Risk Adjustment 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

~1 min read

The Actuarial Sr. Manager will be a key player in helping Oscar to understand the financial implications to the ACA's risk adjustment program. You will support multiple aspects of the actuarial team's risk adjustment work, including supporting monthly financial close, ongoing forecasting, and various other analyses. This is a very dynamic space, which makes this a great opportunity to work on interesting projects and have a BIG impact.

You will report into the VP, Actuarial.

Responsibilities

~1 min read

→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

Requirements

~1 min read

College degree or commensurate skills attainment.
Associate or Fellow of the Society of Actuaries (SOA).
6+ years of quantitative analysis experience.

Nice to Have

~2 min read

Strongly prefer ACA Risk Adjustment, ACA Pricing/MedEcon, or Non-ACA Risk Adjustment expertise.
Strong understanding of health insurance concepts and nuances.

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 (accommodations@hioscar.com) 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.

Location & Eligibility

Where is the job

Worldwide

Fully remote, anywhere in the world

Who can apply

Same as job location

About this job

Pay per year: $163,944–$215,177 a year; 178% above the $68,076 median for Other jobs on Jobera (131,167 salaries).
Posted: 13 days ago
Employer: has 239 open jobs on Jobera.