Oscar
More roles at OscarSenior Director, Actuarial - Risk Adjustment
Remote role where the employee must remain based in a particular country.
United States only
From the listing details: Residency required in United States
Employer listed it 10 days ago · Added 8 days ago
First listed 10 days ago and still open.
Salary
$219k to $287k per year
Location
United States only
Timezone
Not stated
Contract
Full-time
Experience
Lead
Category
Other
Stated by the employer in the job description
What the advert says
Quoted word for word from the employer's advert. Where it says nothing, we say so.
- Working hours
- Not mentioned in the advert
- Where you can work from
- Location eligibility not confirmed
- Contract
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…
- Experience asked for
- Not mentioned in the advert
- Pay
Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $218,592 - $286,902 per year.
Remote flexibility
Work from home
This is a remote role, but the employee must be based in United States. It is work from home rather than work from anywhere.
What the employer says
- Source listing states candidate location: "Remote, Remote (New York)"
What Nomaders makes of it
- Residency required in United States
- Payroll and tax are likely handled in that country only
The quotes above are the employer's own words; the reading is ours. Always check the original listing and employment terms before working from another country.
Before you apply
Questions worth asking: Nomaders interpretation
- The advert does not say where you can be based. Ask which countries they can legally employ or contract you from.
Produced automatically from this advert's text; not reviewed by a person. The employer's own page is the final word.
About the role
Hi, we're Oscar. We're hiring a Senior Director, Actuarial - Risk Adjustment 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 Senior Director, Actuarial – Risk Adjustment leads Oscar's ACA risk adjustment actuarial function, with responsibility for financial reporting, forecasting, and strategic analysis. You manage a team and partners across Finance, Market P&L, Risk Adjustment Operations, Medical Economics, and Data Science to inform business strategy and financial disclosures. You will translate risk adjustment performance, market dynamics, and financial implications into clear, actionable insights for senior leadership.
You will report to the Vice President, Corporate 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: $218,592 - $286,902 per year. The base pay for this role in all other locations is: $196,733 - $258,212 per year.. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants and annual performance bonuses.
Responsibilities:
ACA Risk Adjustment Financial Reporting & Forecasting: Lead financial reporting and forecasting for ACA risk adjustment, including monthly close, external audits, regulatory reviews, and other finance-related activities.
Oscar Risk Score Analysis & Projection: Develop strategic insights and projections regarding Oscar's ultimate risk scores and risk adjustment performance.
Market Morbidity Analysis & Projection: Analyze market morbidity drivers and their financial implications, coordinating with key external stakeholders including industry consultants.
Executive Advising & Reporting: Lead executive-facing reporting by managing key financial forecasts and delivering presentations that translate complex actuarial insights into actionable strategic recommendations for senior leadership.
Cross-Functional Leadership: Build strategic partnerships across key business units (e.g., Finance, Risk Adjustment Operations, Market P&L) and represent the Actuarial function in executive forums.
Advanced Analytics & Growth: Direct advanced analytics initiatives, leveraging key findings to shape enterprise-wide decision-making regarding pricing, strategic business growth, and network strategies.
Team Management & Development: Lead and develop a team of actuarial professionals, providing coaching, mentorship and professional development to foster continuous growth across the Actuarial team .
Other duties as assigned.
Requirements:
Bachelor's degree in a STEM field, or 4 years commensurate experience.
12+ years of quantitative analysis in the healthcare industry.
5+ years of collaborating and influencing an Executive Leadership Committee.
Proven experience in a pricing role, or a related analytics-driven leadership role.
Strong government programs risk adjustment subject matter expertise, preferably in ACA Marketplace.
Bonus points:
Extensive experience leading actuarial financial reporting, including claims reserving and risk adjustment.
Requirements
- ·Bachelor's degree in a STEM field, or 4 years commensurate experience.
- ·12+ years of quantitative analysis in the healthcare industry.
- ·5+ years of collaborating and influencing an Executive Leadership Committee.
- ·Proven experience in a pricing role, or a related analytics-driven leadership role.
- ·Strong government programs risk adjustment subject matter expertise, preferably in ACA Marketplace.
Benefits
No benefits package published with this listing. Ask about it at first interview.
How to apply
- 1Check the flexibility label above, work from home, matches where you plan to live and work.
- 2Tailor your CV to the role at Oscar, mentioning your remote working experience.
- 3Apply directly on the employer's careers page using the button below. Nomaders never handles your application.
Found 9d ago. Last checked today. Always confirm the details on the original posting, salary and location can change after publication.
Listing sourced from Company boards.
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