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.
Work Location This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule.
Pay Transparency The base pay for this role is: $93,600 - $122,850 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.
Equal Opportunity Employer At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
Reasonable Accommodation Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.
California Residents For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy.
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Work Location This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule.
Pay Transparency The base pay for this role is: $93,600 - $122,850 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.
Equal Opportunity Employer At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
Reasonable Accommodation Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.
California Residents For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy.
#J-18808-Ljbffr