Remote opportunity at
OSCAR ASSOCIATES (AMERICAS), LLCAssociate, Actuarial
Oscar is a health insurance provider established in 2012 that combines a full stack technology platform with member-focused services. The organization is seeking an Associate, Actuarial…
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About This Role
Oscar is a health insurance provider established in 2012 that combines a full stack technology platform with member-focused services. The organization is seeking an Associate, Actuarial to join its Actuarial team and report directly to the Associate Director, Medical Economics. In this position, the professional will support the Value-Based Care and Network Performance strategy by building actuarial models, performing financial analyses, and generating insights regarding provider arrangements and total cost…
Job Description
Oscar is a health insurance provider established in 2012 that combines a full stack technology platform with member-focused services. The organization is seeking an Associate, Actuarial to join its Actuarial team and report directly to the Associate Director, Medical Economics.
In this position, the professional will support the Value-Based Care and Network Performance strategy by building actuarial models, performing financial analyses, and generating insights regarding provider arrangements and total cost of care initiatives. The role involves collaborating across multiple internal departments, including Finance, Clinical, Claims Operations, Network Contracting, and Actuarial.
This is a remote position open to candidates residing in Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Missouri, Nebraska, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, and Virginia. However, work arrangements may adapt over time, and individuals living within a commutable distance to the Hudson Square office in New York City or the Tempe office off the 101 at University Avenue must work on-site at least three days per week, with Thursdays mandated for team events.
Responsibilities
- Design, maintain, and upgrade actuarial models for value-based care arrangements such as capitated payment structures, shared savings, and shared risk.
- Project financial deal performance, determine settlement results, and measure how alternative reimbursement models affect affordability goals and total cost of care.
- Track provider and arrangement performance through benchmarking, variance analysis, recurring reporting, and attribution to spot drivers of results and enhancement areas.
- Collaborate with Claims Operations, Finance, Clinical, Network Contracting, and Actuarial teams to aid negotiation strategy, contract evaluation, and performance management.
- Convert complex financial, utilization, and claims data into clear insights and recommendations for leadership and business partners.
- Enhance actuarial best practices through improved model documentation, quality assurance controls, automation, and reproducibility of regular analyses.
- Assist with onboarding and knowledge sharing by documenting workflows and mentoring analysts on established methods.
- Comply with all applicable laws and regulations alongside performing other assigned duties.
Requirements
- College degree in a STEM field.
- Four or more years of quantitative analysis experience.
- Associate or Fellow of the Society of Actuaries, or currently on the track to achieve this status.
Qualifications
- Background in provider economics, health insurance, value-based care, network performance analytics, or medical economics.
- Solid grasp of fundamental health insurance principles including utilization, claims, risk adjustment, reimbursement, and total cost of care.
- Proficiency with analytical tools like SQL, Python, or R used for building repeatable reports and models.
- Strong communication, relationship-building, and collaboration skills to explain technical findings to non-technical stakeholders.
- Demonstrated ability to improve analytical workflows via documentation, quality controls, and automation.
Core Skills
Benefits
- Medical, dental, and vision insurance coverage.
- Participation in an unlimited vacation program.
- Annual performance bonuses.
- 11 paid holidays, paid sick time, and paid parental leave.
- Participation in a 401(k) plan.
- Life and disability insurance.
- Paid wellness time and reimbursements.
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
Is this position remote?
Yes, this is a remote role open to residents of Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Missouri, Nebraska, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, and Virginia. However, candidates living within commutable distance to the New York City or Tempe offices must come in at least three days per week, with Thursdays required for everyone.
What is the salary range for this role?
The base pay for New Jersey and New York is $123,372 to $161,925 per year, while all other locations range from $111,034 to $145,733 per year. Final offers depend on skills, education, and relevant experience.
What are the core educational requirements?
Applicants must hold a college degree in a STEM field and either be an Associate or Fellow of the Society of Actuaries or be on the track to become one.
Sample Interview Questions
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