Senior Manager, Actuarial - Risk Adjustment
你好，我们是奥斯卡。我们正在聘请一名高级经理，实际管理 - 风险调整团队加入我们的实验室团队。奥斯卡是第一家围绕一个完整的技术平台建立的医疗保险公司，并无情地关注服务我们的成员。我们在2012年开始了奥斯卡，以创建一种我们想要为自己做家庭医生的人类健康保险公司。关于角色：实际管理人员将成为帮助奥斯卡了解 ACA 对风险调节计划的财务影响的一个关键参与者。你将支持审计团队的风险调整工作，包括每月完成财务关闭，持续预测和各种其他分析。这是一个非常动态的空间，这使得这个地方成为对有趣项目进行工作的很好的机会，并产生大影响。你将报告到副总裁，审核团队。工作地点：本职位是完全远程的，并且可以接受居住在美国的候选人，不含阿拉斯加；德拉华州；夏威夷；路易那纳州；蒙塔拿州；北达科他州；奥克拉荷马州；西弗吉尼亚州；怀俄明州；以及美国领土。日常工作从家办公室完成，偶尔需要前往团队会议和公司活动。#LI-Remote Pay Transparency: 美国加利福尼亚州，康涅狄格州，新泽西州，纽约州和华盛顿州的基本工资为：每年163,944美元至215,177美元。其他地方的基本工酬是：147,550美元至193,659美元。你还有资格获得员工福利，参加奥斯卡无限度假日计划和年度绩效奖金。责任：·通过与代理商和数据科学家组成一个跨职能团队合作，发展奥斯卡预测风险分数和 ACA 市场病率的能力来保持前沿。·以创新的方式展示创造性和思维力在采购新数据并进行奥斯卡水平预测。· 维持和发展核心风险调整报告和预测模型。· 研究并增强奥斯卡的风险调节知识和能力，包括欧斯卡成员和其他市场运营商的观点。· 对月底闭幕和持续财务预测的估计风险调控转移贡献者。· 进行各种与风险调度相关分析，包括分析风险调试表现的驱动因素。· 领导季度审核成果和保持内部控制遵守以确保
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Hi, we're Oscar. We're hiring a Senior Manager, Actuarial - Risk Adjustment to join our Actuarial team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.
About the role:
The Actuarial Sr. Manager will be a key player in helping Oscar to understand the financial implications to the ACA's risk adjustment program. You will support multiple aspects of the actuarial team's risk adjustment work, including supporting monthly financial close, ongoing forecasting, and various other analyses. This is a very dynamic space, which makes this a great opportunity to work on interesting projects and have a BIG impact.
You will report into the VP, Actuarial.
Work Location: This position is fully remote and open to candidates residing in the U.S., excluding Alaska; Delaware; Hawaii; Louisiana; Montana; North Dakota; Oklahoma; West Virginia; Wyoming; and U.S. Territories. Daily work is completed from your home office, with occasional travel required for team meetings and company events. #LI-Remote
Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $163,944 - $215,177 per year. The base pay for this role in all other locations is: $147,550 - $193,659 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:
- Live on the cutting edge by developing Oscar's ability to predict Oscar's risk scores and ACA market morbidity, working with a cross functional team of actuaries and data scientists.
- Showcase resourcefulness and creative thinking in sourcing new data for making Oscar and market level predictions in innovative ways.
- Maintain and evolve core risk adjustment reporting and forecast models.
- Conduct research and enhance Oscar's risk adjustment knowledge and capabilities, including views of both Oscar's membership and other carriers in the market.
- Key contributor in estimated risk adjustment transfer estimates for monthly closes and ongoing financial forecasts.
- Conduct various risk adjustment related analyses, including analyzing drivers of risk adjustment performance.
- Lead quarterly audit deliverables and maintain internal control compliance to support accurate financial reporting.
- Promote and shape Oscar actuarial best practices with respect to automation and documentation.
- Maintain strong relationships, rapport, and lines of communication with both internal and external stakeholders.
- Aid in the onboarding of analysts by collaborating and integrating them into existing processes.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements:
- College degree or commensurate skills attainment.
- Associate or Fellow of the Society of Actuaries (SOA).
- 6+ years of quantitative analysis experience.
Bonus points:
- Strongly prefer ACA Risk Adjustment, ACA Pricing/MedEcon, or Non-ACA Risk Adjustment expertise.
- Strong understanding of health insurance concepts and nuances.
This is an authentic Oscar Health job opportunity.
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.
Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
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.
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