Remote opportunity at
OSCAR ASSOCIATES (AMERICAS), LLCSenior Manager, Actuarial - Risk Adjustment
Oscar Associates (Americas), LLC is seeking a Senior Manager, Actuarial - Risk Adjustment to join the actuarial team. The employer operates as the initial health insurance…
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About This Role
Oscar Associates (Americas), LLC is seeking a Senior Manager, Actuarial - Risk Adjustment to join the actuarial team. The employer operates as the initial health insurance enterprise designed around a comprehensive technology platform and a commitment to member service, aiming to function like a doctor in the family. In this role, the incumbent will report directly to the Vice President of Actuarial and examine the financial impacts of the ACA…
Job Description
Oscar Associates (Americas), LLC is seeking a Senior Manager, Actuarial - Risk Adjustment to join the actuarial team. The employer operates as the initial health insurance enterprise designed around a comprehensive technology platform and a commitment to member service, aiming to function like a doctor in the family. In this role, the incumbent will report directly to the Vice President of Actuarial and examine the financial impacts of the ACA risk adjustment program.
This fully remote position is open to applicants residing in the United States, with specific exclusions for Alaska, Delaware, Hawaii, Louisiana, Montana, North Dakota, Oklahoma, West Virginia, Wyoming, and U.S. territories. Daily tasks take place from a home office, though occasional travel is necessary for company gatherings and team meetings. The role suits quantitative professionals who want to shape risk adjustment capabilities, collaborate with data scientists, and contribute significantly to financial forecasting and monthly closes.
Responsibilities
- Collaborate with a cross-functional team of data scientists and actuaries to predict ACA market morbidity and risk scores
- Source innovative data to generate market-level and company-level predictions using resourcefulness and creativity
- Update and manage core forecast and risk adjustment reporting models
- Investigate and expand organizational knowledge regarding risk adjustment for both internal membership and external market carriers
- Estimate risk adjustment transfers for monthly financial closes and ongoing forecasts
- Analyze drivers of risk adjustment performance and execute related assessments
- Oversee quarterly audit deliverables while sustaining internal control compliance for financial reporting
- Advocate for actuarial best practices focused on documentation and automation
- Communicate and build robust relationships with internal and external stakeholders
- Support the integration and onboarding of analysts into existing workflows
Requirements
- Possess a college degree or equivalent skills attainment
- Hold an Associate or Fellowship credential from the Society of Actuaries
- Demonstrate at least six years of quantitative analysis experience
Qualifications
- Bring expertise in ACA Risk Adjustment, ACA Pricing, Medical Economics, or Non-ACA Risk Adjustment
Core Skills
Benefits
- Employee benefits including medical, dental, and vision 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 associated 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 role is fully remote and open to individuals living in the U.S., 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 USD 163,944 to 215,177 per year in California, Connecticut, New Jersey, New York, and Washington, and USD 147,550 to 193,659 per year in all other locations.
What qualifications are required to apply?
Applicants must have a college degree or commensurate skills attainment, an Associate or Fellow designation from the Society of Actuaries, and a minimum of six years of quantitative analysis experience.
Who does this position report to?
The Senior Manager reports directly to the Vice President of Actuarial.
Sample Interview Questions
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