Senior Director, Actuarial – Risk Adjustment

Oscar Health

. Lead financial reporting and forecasting for ACA risk adjustment, including monthly close, external audits, regulatory reviews, and other finance-related activities .

Posted 10/16/2026full-timeRemote • United StatesSenior💰 $196,733 - $258,212 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates extensive expertise in financial reporting and forecasting within the healthcare sector, particularly in ACA risk adjustment. Proven ability to lead teams, influence executive leadership, and develop strategic insights that drive business growth and operational efficiency.

Highest-signal resume keywords

Financial ReportingRisk Adjustment ExpertiseQuantitative AnalysisActuarial LeadershipProcess Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Quantitative AnalysisFinancial ForecastingClaims ReservingPricing StrategyAdvanced Analytics

Soft Skills

CommunicationCollaborationRelationship BuildingCoachingMentorship

Certifications & Qualifications

Fellow of the Society of ActuariesQualified Actuary

Industry Keywords

ACA MarketplaceHealthcare RegulationsRisk AdjustmentMarket P&LMedical Economics

About the role

Key responsibilities & impact

Lead financial reporting and forecasting for ACA risk adjustment, including monthly close, external audits, regulatory reviews, and other finance-related activities
Develop strategic insights and projections regarding Oscar's ultimate risk scores and risk adjustment performance
Analyze market morbidity drivers and their financial implications, coordinating with external stakeholders including industry consultants
Lead executive-facing reporting by managing financial forecasts and presenting actuarial insights as strategic recommendations for senior leadership
Build strategic partnerships across Finance, Risk Adjustment Operations, Market P&L, Medical Economics, and Data Science
Represent the Actuarial function in executive forums
Direct advanced analytics initiatives supporting pricing, strategic business growth, and network strategies
Lead and develop a team of actuarial professionals through coaching, mentorship, and professional development
Perform other duties as assigned

Requirements

What you’ll need

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, preferably in ACA Marketplace
Extensive experience leading actuarial financial reporting, including claims reserving and risk adjustment
Qualified, or willing to become qualified, to serve as appointed actuary under the American Academy of Actuaries’ Specific Qualification Standard
Excellent communication, collaboration, and relationship-building skills
Strong process management skills, including streamlining workflows and driving operational efficiency
Strong familiarity with ACA-specific healthcare laws, regulations, and compliance requirements
Fellow of the Society of Actuaries, or on the track to become one

Benefits

Comp & perks

Employee benefits
Unlimited vacation program
Company equity grants
Annual performance bonuses
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