Senior Actuarial Analyst

Oscar Health

🔍 Observed

$92K - $120K USD

Atlanta, Georgia, United States First seen 3 weeks ago Last seen 3 hours, 50 minutes ago Greenhouse

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Job Description

AI Summary

• Analyze network performance, provider contracts, and cost trends to support pricing strategies, budgeting, and financial planning for Oscar's ACA health insurance markets • Build and refine actuarial models that evaluate historical and current performance to inform network strategies and data-driven decision-making across the organization • Develop benchmarking analyses, collaborate with cross-functional teams on reporting tools, and advocate for best practices in actuarial processes and automation • Requires Bachelor's degree in STEM field, ASA or FSA credential (or in progress), and 3+ years of related experience in health insurance • Remote position based in Atlanta, GA with salary range of $91,659-$120,303, plus benefits, unlimited vacation, and annual performance bonuses

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 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 Analyst, Actuarial contributes in supporting Oscar's network performance analytics for support across affordability, forecasting, strategy, and pricing efforts across several Affordable Care Act (ACA) markets. You will focus on analyzing network-related performance trends and provider contract terms to inform budget planning, pricing strategies, and overall company direction. The Senior Analyst is responsible for building and refining analytical models that evaluate both historical and current performance, providing insights into Oscar's network-focused programs. By bringing an actuarial perspective to these analyses, you will help shape network strategies and 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: Atlanta, GA. 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: $91,659 - $120,303 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

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

Company:
Oscar Health
Location:
Atlanta, Georgia, United States
Experience Level:
Senior
Source:
Greenhouse
Status:
Active

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68 /100

Likely Active (68)

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