Senior Director, Actuarial - Risk Adjustment
Oscar Health
Senior Director, Actuarial - Risk Adjustment
New York, New York, United States · Remote · Yesterday
- Salary
- $219k - $287k
- Experience
- 12+ Years
Role Summary
Role type
Strategic risk and financial analytics leader
Closer to a strategic risk role than a regulatory reporting role because executive recommendations and enterprise decisions extend beyond recurring financial disclosures.
Senior Director health actuarial role focused on ACA Exchange risk adjustment at Oscar Health. You’ll lead financial reporting, forecasting, market analysis, executive advising, and team development while partnering across Finance, P&L, Operations, Medical Economics, and Data Science. The role reports to the VP of Corporate Actuarial and is fully remote for eligible U.S. residents.
Requirements
Strongly preferred
- Bachelor's degree in a STEM field, or 4 years commensurate experience
- 12+ years of quantitative analysis in the healthcare industry
- 5+ years of collaborating and influencing an Executive Leadership Committee
- Proven experience in a pricing role, or a related analytics-driven leadership role
- Strong government programs risk adjustment subject matter expertise
Nice to have
- Extensive experience leading actuarial financial reporting, including claims reserving and risk adjustment
- Qualified or willing to become qualified as appointed actuary per AAA qualification standard
- Excellent communication, collaboration, and relationship-building skills
- Strong process management skills with experience streamlining workflows
- Collaborative and influential leadership style
- Strong familiarity with ACA-specific healthcare laws, regulations, and compliance requirements
- Fellow of the Society of Actuaries (SOA), or on the track to become one
Skills & Domain
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