Job Description

Senior Actuarial Analyst

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 ourselvesone 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: $84,240 - $110,565 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.

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