Senior Manager, Actuarial – Risk Adjustment

This is a fully remote position, open to applicants in California, +4 more states.

📋 Description

• Enhance Oscar's capabilities to forecast risk scores and ACA market morbidity in collaboration with actuaries and data scientists.

• Identify and acquire new data for Oscar and its market-level predictions.

• Oversee and advance risk adjustment reporting and forecasting models.

• Conduct research to improve risk adjustment knowledge and skillsets.

• Prepare projected risk adjustment transfer estimates for monthly closures and ongoing financial forecasts.

• Execute risk adjustment analyses, including examining factors influencing risk adjustment performance.

• Lead quarterly audit tasks and uphold internal control compliance.

• Advocate for and develop actuarial best practices in automation and documentation.

• Foster relationships and maintain communication with both internal and external stakeholders.

• Assist in the onboarding of analysts and their integration into current processes.

• Adhere to relevant laws and regulations.

• Carry out additional duties as assigned.

⛳️ Requirements

• Bachelor's degree or equivalent skills and experience.

• Associate or Fellow of the Society of Actuaries (SOA).

• Over 6 years of experience in quantitative analysis.

• Preferred: Expertise in ACA Risk Adjustment, ACA Pricing/MedEcon, or Non-ACA Risk Adjustment.

• Strong grasp of health insurance principles and intricacies.

🏝️ Benefits

• Comprehensive employee benefits.

• Unlimited vacation policy.

• Annual performance bonuses.

• Medical coverage.

• Dental coverage.

• Vision coverage.

• 11 paid holidays.

• Paid sick leave.

• Paid parental leave.

• Participation in a 401(k) plan.

• Life insurance coverage.

• Disability insurance.

• Paid wellness time.

• Wellness reimbursement program.

• Occasional travel for team meetings and company events.