Oscar Health - Senior Manager, Actuarial - Risk Adjustment
Requirements
• College degree or commensurate skills attainment. • Associate or Fellow of the Society of Actuaries (SOA). • 6+ years of quantitative analysis experience. • Strongly prefer ACA Risk Adjustment, ACA Pricing/MedEcon, or Non-ACA Risk Adjustment expertise. • Strong understanding of health insurance concepts and nuances. • This is an authentic Oscar Health job opportunity.
Responsibilities
• Work Location: This position is fully remote and open to candidates residing in the U.S., excluding Alaska; Delaware; Hawaii; Louisiana; Montana; North Dakota; Oklahoma; West Virginia; Wyoming; and U.S. Territories. Daily work is completed from your home office, with occasional travel required for team meetings and company events. #LI-Remote • Work Location: • excluding • Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $163,944 - $215,177 per year. The base pay for this role in all other locations is: $147,550 - $193,659 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. • Pay Transparency: • Live on the cutting edge by developing Oscar's ability to predict Oscar's risk scores and ACA market morbidity, working with a cross functional team of actuaries and data scientists. • Showcase resourcefulness and creative thinking in sourcing new data for making Oscar and 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. • Lead quarterly audit deliverables and maintain internal control compliance to support accurate financial reporting. • 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
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