Hi, we're Oscar. We're hiring an Actuary, Risk Adjustment to join our Actuarial team.
Oscar is the first health insurance company built around a full stack technology platform and a 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 Actuary supports Oscar’s valuation, risk adjustment, forecasting, strategy, and pricing processes for several Affordable Care Act (ACA) markets. You will review pricing, establishing Incurred but not Reported (IBNR) projections, risk adjustment accruals, and investigating actual performance trends to inform budget planning, pricing, and company strategies.
You will be a critical partner to Market P&L, Insurance Product and other Analytic support functions for consultation of regional specific pricing, network and product strategy. You will also support the regulatory submission process, support plan design compliance, and are responsible to ensure pricing is actuarially sound.
You will report to the Director, Actuarial.
Work Location:
Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.
If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.
You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote
Pay Transparency:
The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $113,600 - 149,100 per year. The base pay for this role in all other locations is: $102,240 - 134,190 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities
- Consistency and standardization across processes.
- Develop risk adjustment projection models, forecasts, and trend analytics.
- Main contributor in developing and submitting regulatory filings, and developing a viewpoint and recommendation for strategic pricing decisions.
- Provide an actuarial viewpoint across cross-functional teams for Oscar’s ACA-compliant Individual and Small Group markets as we grow in all markets.
- Promote and shape Oscar actuarial best practices concerning automation and documentation.
- Maintain partner relationships, partnership, 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.
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.
Bonus Points
- Excellent communication, collaboration, and relationship-building skills.
- Strong understanding of health insurance concepts and nuances.
- Experience in ACA or other line of business risk adjustment.
This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.
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.
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 ([email protected]) 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 Notice to Job Applicants.
Top Skills
What We Do
Healthcare is broken; we're trying to fix it. The Oscar team is focused on utilizing technology, design and data to humanize healthcare. We're a group of technology and healthcare professionals who looked at the current state of the US healthcare system, got frustrated by the horrible consumer experience, and decided to do something big about it.
Gallery
.jpeg)
