Hi, we’re Oscar. We’re hiring an Actuary, Risk Adjustment to join our Actuarial team.

Oscar is the first health insurance company built around a full stack technology platform and a 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 Actuary supports Oscar’s valuation, risk adjustment, forecasting, strategy, and pricing processes for several Affordable Care Act (ACA) markets. You will review pricing, establishing Incurred but not Reported (IBNR) projections, risk adjustment accruals, and investigating actual performance trends to inform budget planning, pricing, and company strategies.

You will be a critical partner to Market P&L, Insurance Product and other Analytic support functions for consultation of regional specific pricing, network and product strategy. You will also support the regulatory submission process, support plan design compliance, and are responsible to ensure pricing is actuarially sound.

You will report to the Director, Actuarial.

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $113,600 - 149,100 per year. The base pay for this role in all other locations is: $102,240 - 134,190 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program and annual performance bonuses.

Responsibilities

• Consistency and standardization across processes.
• Develop risk adjustment projection models, forecasts, and trend analytics.
• Main contributor in developing and submitting regulatory filings, and developing a viewpoint and recommendation for strategic pricing decisions.
• Provide an actuarial viewpoint across cross-functional teams for Oscar’s ACA-compliant Individual and Small Group markets as we grow in all markets.
• Promote and shape Oscar actuarial best practices concerning automation and documentation. 
• Maintain partner relationships, partnership, 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.

Qualifications

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

Bonus Points

• Excellent communication, collaboration, and relationship-building skills.
• Strong understanding of health insurance concepts and nuances.
• Experience in ACA or other line of business risk adjustment.