Senior Manager, Actuarial – Risk Adjustment

Oscar Health

. Develop Oscar's ability to predict risk scores and ACA market morbidity with actuaries and data scientists .

Posted 10/16/2026full-timeRemote • United StatesSenior💰 $147,550 - $193,659 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in ACA Risk Adjustment and quantitative analysis, with a strong understanding of health insurance concepts. Capable of developing predictive models, conducting risk adjustment analyses, and maintaining compliance with regulations.

Highest-signal resume keywords

ACA Risk Adjustment ExpertiseQuantitative Analysis ExperienceRisk Adjustment ReportingActuarial Best PracticesHealth Insurance Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Predictive ModelingRisk Adjustment AnalysisData SourcingFinancial ForecastingStatistical Analysis

Soft Skills

Stakeholder CommunicationTeam OnboardingRelationship Management

Certifications & Qualifications

Associate of the Society of ActuariesFellow of the Society of Actuaries

Industry Keywords

ACA Market MorbidityRisk Adjustment ComplianceInternal Control ComplianceActuarial AutomationHealth Insurance Concepts

About the role

Key responsibilities & impact

Develop Oscar's ability to predict risk scores and ACA market morbidity with actuaries and data scientists
Source new data for Oscar and market-level predictions
Maintain and evolve risk adjustment reporting and forecast models
Conduct research and enhance risk adjustment knowledge and capabilities
Prepare estimated risk adjustment transfer estimates for monthly closes and ongoing financial forecasts
Conduct risk adjustment analyses, including analyzing drivers of risk adjustment performance
Lead quarterly audit deliverables and maintain internal control compliance
Promote and shape actuarial best practices for automation and documentation
Maintain relationships and communication with internal and external stakeholders
Aid in onboarding analysts and integrating them into existing processes
Comply with applicable laws and regulations
Perform other duties as assigned

Requirements

What you’ll need

College degree or commensurate skills attainment
Associate or Fellow of the Society of Actuaries (SOA)
6+ years of quantitative analysis experience
Strongly preferred: ACA Risk Adjustment, ACA Pricing/MedEcon, or Non-ACA Risk Adjustment expertise
Strong understanding of health insurance concepts and nuances

Benefits

Comp & perks

Employee benefits
Unlimited vacation program
Annual performance bonuses
Medical benefits
Dental benefits
Vision benefits
11 paid holidays
Paid sick time
Paid parental leave
401(k) plan participation
Life insurance
Disability insurance
Paid wellness time
Wellness reimbursements
Occasional travel for team meetings and company events