Senior Actuarial Analyst
About The Position
The Senior Analyst, Actuarial contributes in supporting Oscar's network performance analytics for support across affordability, forecasting, strategy, and pricing efforts across several Affordable Care Act (ACA) markets. You will focus on analyzing network-related performance trends and provider contract terms to inform budget planning, pricing strategies, and overall company direction. The Senior Analyst is responsible for building and refining analytical models that evaluate both historical and current performance, providing insights into Oscar's network-focused programs. By bringing an actuarial perspective to these analyses, you will help shape network strategies and ensures data-driven decision-making. You will report into the Director, Actuarial.
Requirements
- Bachelor's degree in a STEM field.
- Associate or Fellow of the Society of Actuaries (SOA), or on the track to become one.
- 3+ years of experience in a related field.
Nice To Haves
- Strong knowledge of core health insurance concepts and experience with actuarial applications.
- Highly technical with a strong enthusiasm to apply tech-forward methods in actuarial models.
- Experience with provider contracts and reimbursement methodologies.
Responsibilities
- Help develop models, leveraging tools, and conducting benchmarking analyses to measure the performance of provider contracts and networks, and the financial impact of contract negotiations.
- Analyze the causes of observed trends - with a focus on unit monitoring unit cost trends and network improvement opportunities - to deliver relevant insights that inform financial planning, including budgeting, pricing, and strategic programs for network and member engagement.
- Collaborate interdepartmentally to build analytic reporting tools that support network contractors, market management, and actuarial teams.
- Provide actuarial expertise to cross-functional teams for Oscar's ACA-compliant individual markets, supporting growth in both our markets.
- Advocate for and establish best practices in actuarial processes, emphasizing automation and documentation.
- Foster relationships and communicate with all partners.
- Support the onboarding of new analysts by facilitating their integration into established processes.
- Compliance with all applicable laws and regulations.
- Other duties as assigned.
Benefits
- employee benefits
- participation in Oscar's unlimited vacation program
- annual performance bonuses
- medical, dental, and vision benefits
- 11 paid holidays
- paid sick time
- paid parental leave
- 401(k) plan participation
- life and disability insurance
- paid wellness time and reimbursements
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Industry
Insurance Carriers and Related Activities
Number of Employees
1,001-5,000 employees
