Remote opportunity at
OSCAR ASSOCIATES (AMERICAS), LLCSenior Director, Actuarial - Risk Adjustment
Oscar Associates (Americas), LLC is hiring a remote Senior Director, Actuarial - Risk Adjustment for its Actuarial department. Operating as a health insurance company built around…
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About This Role
Oscar Associates (Americas), LLC is hiring a remote Senior Director, Actuarial - Risk Adjustment for its Actuarial department. Operating as a health insurance company built around a technology platform, Oscar aims to provide health insurance resembling a doctor in the family. This full-time leadership position oversees the Affordable Care Act risk adjustment actuarial operations, directing financial reporting, forecasting, strategic analysis, and executive-level reporting. The role reports to the Vice President…
Job Description
Oscar Associates (Americas), LLC is hiring a remote Senior Director, Actuarial - Risk Adjustment for its Actuarial department. Operating as a health insurance company built around a technology platform, Oscar aims to provide health insurance resembling a doctor in the family. This full-time leadership position oversees the Affordable Care Act risk adjustment actuarial operations, directing financial reporting, forecasting, strategic analysis, and executive-level reporting. The role reports to the Vice President of Corporate Actuarial, managing a professional team and collaborating with multiple business units including Finance, Market Profit and Loss, Risk Adjustment Operations, Medical Economics, and Data Science.
This opportunity is fully remote for candidates residing within the United States, excluding Alaska, Delaware, Hawaii, Louisiana, Montana, North Dakota, Oklahoma, West Virginia, Wyoming, and U.S. Territories. Daily tasks are performed from home, though occasional travel is required for company events and team gatherings. Base salary ranges from $218,592 to $286,902 per year in California, Connecticut, New Jersey, New York, and Washington, and from $196,733 to $258,212 per year in all other eligible regions. Total compensation includes employee benefits, annual performance bonuses, company equity grants, and participation in an unlimited vacation program.
Responsibilities
- Manage financial reporting and forecasting for ACA risk adjustment, encompassing monthly close processes, external audits, and regulatory reviews
- Formulate strategic insights and projections regarding ultimate risk scores and risk adjustment performance
- Examine market morbidity drivers and their financial impacts while coordinating with industry consultants
- Deliver executive-facing financial forecasts and presentations translating complex actuarial data into strategic recommendations
- Establish strategic partnerships across business units like Finance, Risk Adjustment Operations, and Market Profit and Loss
- Direct advanced analytics initiatives to guide enterprise-wide decision-making for pricing, business growth, and network strategies
- Lead, coach, and develop a team of actuarial professionals to foster continuous professional growth
Requirements
- Possess a Bachelor's degree in a STEM field or have four years of commensurate experience
- Demonstrate at least 12 years of quantitative analysis experience within the healthcare industry
- Accumulate a minimum of 5 years of experience collaborating with and influencing an Executive Leadership Committee
- Bring proven experience in a pricing role or a related analytics-driven leadership position
- Exhibit strong government programs risk adjustment subject matter expertise, preferably within the ACA Marketplace
Qualifications
- Extensive experience leading actuarial financial reporting including claims reserving and risk adjustment
- Qualified or willing to qualify to serve as an appointed actuary under the American Academy of Actuaries Specific qualification standard
- Possess excellent communication, collaboration, and relationship-building skills paired with strong process management abilities
- Demonstrate a collaborative and influential leadership style across multiple teams
- Maintain strong familiarity with ACA-specific healthcare laws, regulations, and compliance requirements
- Hold a Fellow of the Society of Actuaries designation or remain on track to achieve it
Core Skills
Benefits
- Unlimited vacation program participation
- Company equity grants
- Annual performance bonuses
- Medical, dental, and vision insurance coverage
- 11 paid holidays and paid sick time
- 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, the job is fully remote. Eligible candidates must reside in the United States, excluding Alaska, Delaware, Hawaii, Louisiana, Montana, North Dakota, Oklahoma, West Virginia, Wyoming, and U.S. Territories. Occasional travel is required for team meetings and company events.
What is the salary range for this role?
The base pay is $218,592 to $286,902 per year in California, Connecticut, New Jersey, New York, and Washington. For all other approved locations, the base pay is $196,733 to $258,212 per year.
What benefits are included?
Full-time employees are eligible for medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, paid wellness time and reimbursements, company equity grants, annual performance bonuses, and participation in an unlimited vacation program.
Who does this role report to?
The Senior Director, Actuarial - Risk Adjustment reports directly to the Vice President, Corporate Actuarial.
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