Senior Actuarial Analyst at Oscar Health In Other

Senior Actuarial Analyst
Oscar Health // health insurance

Hi, we're Oscar. We're hiring a Senior Actuarial Analyst to join our Actuarial team.

Oscar is the first health insurance company built around a full stack technology platform & a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselvesone that behaves like a doctor in the family.

About the role:

The Senior Analyst, Actuarial contributes in supporting Oscar's network performance analytics for support across affordability, forecasting, strategy, & pricing efforts across several Affordable Care Act (ACA) markets. You will focus on analyzing network-related performance trends & provider contract terms to inform budget planning, pricing strategies, & overall company direction. The Senior Analyst is responsible for building & refining analytical models that evaluate both historical & current performance, providing insights into Oscar's network-focused programs. By bringing an actuarial perspective to these analyses, you will help shape network strategies & ensures data-driven decision-making.

You will report into the Director, Actuarial.

Work Location:

This is a remote position, open to candidates who reside in: Hartford, CT. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote

Pay Transparency: The base pay for this role is: $93,600 - $122,850 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program & annual performance bonuses.

Responsibilities:

Help develop models, leveraging tools, & conducting benchmarking analyses to measure the performance of provider contracts & networks, & the financial impact of contract negotiations.
Analyze the causes of observed trends - with a focus on unit monitoring unit cost trends & network improvement opportunities - to deliver relevant insights that inform financial planning, including budgeting, pricing, & strategic programs for network & member engagement.
Collaborate interdepartmentally to build analytic reporting tools that support network contractors, market management, & actuarial teams.
Provide actuarial expertise to cross-functional teams for Oscar's ACA-compliant individual markets, supporting growth in both our markets.
Advocate for & establish best practices in actuarial processes, emphasizing automation & documentation.
Foster relationships & communicate with all partners.
Support the onboarding of new analysts by facilitating their integration into established processes.
Compliance with all applicable laws & regulations.
Other duties as assigned.

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.

Bonus points:

Strong knowledge of core health insurance concepts & experience with actuarial applications.
Highly technical with a strong enthusiasm to apply tech-forward methods in actuarial models.
Experience with provider contracts & reimbursement methodologies.

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves & find both belonging & support. We're on a mission to change health care -- an experience made whole by our unique backgrounds & perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, & experience. Full-time employees are eligible for benefits including: medical, dental, & vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life & disability insurance, & paid wellness time & reimbursements.

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Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicants disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

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