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Oscar Health

Manager, Actuarial

Posted Yesterday
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Remote
Hiring Remotely in USA
122K-178K Annually
Senior level
Remote
Hiring Remotely in USA
122K-178K Annually
Senior level
Leads actuarial pricing for ACA health insurance markets, overseeing rate development, pricing models, trend analysis, regulatory submissions, and market risk assessment. Partners with product, P&L, network, and analytics teams to guide regional pricing and strategy. Manages and mentors pricing analysts, promotes actuarial automation and documentation best practices, and ensures pricing is actuarially sound and compliant with applicable regulations.
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Hi, we're Oscar. We're hiring a Manager, Actuarial to join our Actuarial team.

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

About the role:

The Manager, Actuarial leads a team of analysts and is responsible for pricing of several ACA markets. You will be a critical partner to Market P&L, Insurance Product, and other analytic support responsibilities for consultation of regional specific pricing, network and product strategy. You will own the end-to-end regulatory submission, will understand risks underlying their markets, and are responsible to ensure pricing is actuarially sound.

You will report into the Associate Director, Actuarial.

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

Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $135,792 - $178,227 per year. The base pay for this role in all other locations is: $122,213 - $160,404 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • Maintain pricing models and methodologies, perform various trend analyses and experience monitoring.
  • Oversee the end-to-end rate development within a specific region for Oscar's ACA markets.
  • Influence and collaborate with partners to guide strategic business decisions with respect to rates.
  • Monitor and understand emerging A:E and market dynamics in your region and apply those learnings to guide the prospective pricing strategy.
  • Provide an actuarial viewpoint across cross-functional teams to ensure sustainable growth for Oscar's ACA-compliant Individual Markets.
  • Mentor, coach, and provide pricing analysts with regular feedback.
  • 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.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • College degree in a STEM field.
  • Associate or Fellow of the Society of Actuaries (SOA), or on the track to become one.
  • 5+ years of quantitative analysis experience.

Bonus points:

  • Excellent communication, collaboration, and relationship-building skills.
  • Strong understanding of health insurance concepts and nuances.

This is an authentic Oscar Health job opportunity.

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 and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

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

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

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

California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy.

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