Senior Director, Regional Actuarial

Oscar Health•New York, NY

2d•$196,733 - $286,902•Remote

About The Position

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.

Requirements

Bachelor's degree in a STEM field, or 4 years commensurate experience.
12+ years of quantitative analysis in the healthcare industry.
5+ years of collaborating and influencing the Executive Leadership Committee.
Proven experience in a pricing role, or a related analytics-driven leadership role.

Nice To Haves

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.
Fellow of the Society of Actuaries (SOA), or on the track to become one.

Responsibilities

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.
Own significant financial forecasts and deliver executive-level presentations that distill complex actuarial insights into actionable recommendations for senior leadership.
Cultivate strategic partnerships across key business units (e.g., Market P&L, Finance) and represent the Actuarial function in executive forums.
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.
Support federal and state advocacy efforts and author actuarial thought leadership on ACA regulations to champion market stability.
Provide mentorship, coaching, and development planning for team members to promote continuous growth and learning across the Regional Actuarial organization.
Other duties as assigned.