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 Analyst II, Actuarial maintains Oscar’s valuation processes for several Affordable Care Act (ACA) markets. You will manage regularly maintaining and reviewing actuarial models used to develop Incurred but not Reported (IBNR) projections and risk adjustment accruals.

You will report to the Associate 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, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, 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: $72,800 - $100,100 per year. The base pay for this role in all other locations is: $65,520 - $90,090 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program and annual performance bonuses.

Responsibilities

Maintain and enhance core valuation models. Ensure consistency and standardization across team users.
Important contributor in developing and submitting regulatory filings, and developing a viewpoint and recommendation for strategic valuation decisions.
Develop and provide recommendations for the accrual setting process with respect to IBNR claims, Risk adjustment and Shared Savings deals.
Identify and triage meaningful observations of experience across plan designs, providers, vendors, and markets.
Promote and shape Oscar actuarial best practices concerning automation and documentation.
Maintain relationships, rapport, 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

Bachelor's degree in a STEM field.
Passed two actuarial exams.
2+ years of experience in a related field.

Bonus Points

Experience with health insurance concepts and nuances.
Technical with an enthusiasm to apply tech-forward methods in actuarial models.
Proficient in coding.

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.

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.

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