Oscar Health Logo

Oscar Health

Associate Director, Actuarial

Posted 16 Days Ago
Be an Early Applicant
Remote
Hiring Remotely in USA
162K-237K Annually
Senior level
Remote
Hiring Remotely in USA
162K-237K Annually
Senior level
Leads actuarial pricing for ACA markets, overseeing financial estimates, forecasts, risk analysis, pricing methodologies, and strategic rate recommendations. Manages and mentors actuarial professionals, collaborates with Finance, Market P&L, and Product Development teams, and guides pricing strategy, model enhancement, automation, documentation, and regulatory compliance.
The summary above was generated by AI

Hi, we're Oscar. We're hiring an Associate Director, 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 Associate Director, Actuarial leads and develops a team of Actuarial professionals and is responsible for pricing several ACA markets. The Associate Director, Actuarial will review the reasonableness of results, quantifies risks inherent in decisions, and makes recommendations that help Oscar achieve market goals. The Associate Director, Actuarial mentors and develops Oscar's team of actuaries, including Managers and Analysts, and collaborates closely with cross-functional teams in Finance, Market P&L, and Product Development.

You will report into the VP, 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: $180,504 - $236,912 per year. The base pay for this role in all other locations is: $162,454 - $213,220 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • Own financial estimates and forecasts; communicate findings and critical actuarial recommendations to senior management.
  • Lead team initiatives to enhance actuarial models and methodologies.
  • Oversee the end-to-end actuarial pricing processes within a specific portfolio or sub-portfolio.
  • Influence and collaborate with key stakeholders to guide strategic business decisions with respect to rates.
  • Have an in-depth understanding of key financial risks and opportunities within the portfolio and across Oscar's business. Apply learnings to guide analytical pricing, prospective pricing strategy, SAE considerations, network strategy, and other unique mitigation strategies.
  • Provide an actuarial viewpoint across cross-functional teams for your portfolio as we rapidly grow in existing and new markets and business lines.
  • Mentor, coach, and provide actuarial team members with regular feedback.
  • Lead and shape Oscar actuarial best practices with respect to automation and documentation.
  • Develop 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:

  • Bachelor's degree in a STEM field, or 4 years commensurate experience.
  • Fellow of the Society of Actuaries (SOA), or actively pursuing exams to attain fellowship.
  • 7+ years of actuarial and / or quantitative analysis experience.

Bonus points:

  • Bachelor's degree in a STEM field.
  • 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.

Similar Jobs

One Month Ago
In-Office or Remote
113K-193K Annually
Senior level
113K-193K Annually
Senior level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Leads actuarial pricing and risk analysis for Medicare Part D, overseeing complex models, methodologies, assumptions, forecasts, competitive analysis, and product proposals. Manages and mentors actuarial staff, evaluates premium impacts, supports new and existing business, and resolves technical and organizational issues.
Top Skills: SASSQL
One Month Ago
In-Office or Remote
113K-193K Annually
Senior level
113K-193K Annually
Senior level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Oversee and develop actuarial models for Medicare ACO performance forecasting, risk tracking, revenue, and claims analysis. Translate complex healthcare data into recommendations for senior leaders, provider organizations, and physician groups. Support Value-Based Care program evaluation and implementation, communicate business insights, and mentor a team of analysts.
Top Skills: ExcelSQL
2 Months Ago
In-Office or Remote
113K-193K Annually
Senior level
113K-193K Annually
Senior level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Leads actuarial analysis supporting health plan strategy, pricing, utilization, costs, guarantees, and product proposals. Develops actuarial models and complex data programs, interprets healthcare trends and competitive intelligence, and presents strategic recommendations to senior leadership. Collaborates with healthcare economics, network, client management, consultants, and external partners. Applies AI and large language models to business problems and may lead strategic initiatives and cross-functional workgroups.
Top Skills: ChatgptClaudeExcelPowerPointPythonRSASSQLTableau

What you need to know about the San Francisco Tech Scene

San Francisco and the surrounding Bay Area attracts more startup funding than any other region in the world. Home to Stanford University and UC Berkeley, leading VC firms and several of the world’s most valuable companies, the Bay Area is the place to go for anyone looking to make it big in the tech industry. That said, San Francisco has a lot to offer beyond technology thanks to a thriving art and music scene, excellent food and a short drive to several of the country’s most beautiful recreational areas.

Key Facts About San Francisco Tech

  • Number of Tech Workers: 365,500; 13.9% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Google, Apple, Salesforce, Meta
  • Key Industries: Artificial intelligence, cloud computing, fintech, consumer technology, software
  • Funding Landscape: $50.5 billion in venture capital funding in 2024 (Pitchbook)
  • Notable Investors: Sequoia Capital, Andreessen Horowitz, Bessemer Venture Partners, Greylock Partners, Khosla Ventures, Kleiner Perkins
  • Research Centers and Universities: Stanford University; University of California, Berkeley; University of San Francisco; Santa Clara University; Ames Research Center; Center for AI Safety; California Institute for Regenerative Medicine

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account