Manager, Actuarial

Oscar Health•Hartford, CT

1d•Remote

About The Position

The Actuarial 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 Director, Actuarial.

Requirements

College degree in a STEM field.
Associate or Fellow of the Society of Actuaries (SOA), or on the track to become one.
5+ years of quantitative analysis experience.

Nice To Haves

Strongly prefer ACA Risk Adjustment, ACA Pricing/MedEcon, or Non-ACA Risk Adjustment expertise.
Excellent communication, collaboration, and relationship-building skills.
Strong understanding of health insurance concepts and nuances.

Responsibilities

Live on the cutting edge by developing Oscar’s ability to predict ACA market morbidity, working with a cross functional team of actuaries and data scientists.
Showcase resourcefulness and creative thinking in sourcing new data and making 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.
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