Senior Manager, Actuarial - Risk Adjustment

Oscar Health•New York, NY

2d•$147,550 - $215,177•Remote

About The Position

Oscar is hiring a Senior Manager, Actuarial to join its Actuarial team. The role focuses on understanding the financial implications of the ACA risk adjustment program and supporting actuarial risk adjustment work, including monthly financial close, ongoing forecasting, and other analyses. The position is fully remote for candidates residing in eligible U.S. locations, with occasional travel for team meetings and company events. The role reports to the VP, Actuarial.

Requirements

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

Nice To Haves

Expertise in ACA Risk Adjustment, ACA Pricing/MedEcon, or Non-ACA Risk Adjustment.
Strong understanding of health insurance concepts and nuances.

Responsibilities

Develop Oscar's ability to predict its risk scores and ACA market morbidity in collaboration with actuaries and data scientists.
Source new data to support Oscar- and market-level predictions.
Maintain and evolve core risk adjustment reporting and forecast models.
Research and enhance Oscar's risk adjustment knowledge and capabilities, including views of Oscar's membership and other market carriers.
Contribute to estimated risk adjustment transfer estimates for monthly closes and ongoing financial forecasts.
Conduct risk adjustment analyses, including analysis of drivers of risk adjustment performance.
Lead quarterly audit deliverables and maintain internal control compliance to support accurate financial reporting.
Promote and shape actuarial best practices relating to automation and documentation.
Maintain relationships, rapport, and communication with internal and external stakeholders.
Help onboard analysts by collaborating with them and integrating them into existing processes.
Comply with applicable laws and regulations.
Perform other duties as assigned.