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Oscar Health

Vice President, Corporate Actuarial

Job Posted 8 Days Ago Posted 8 Days Ago
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Remote
Senior level
Remote
Senior level
The Vice President, Corporate Actuarial oversees the actuarial team and manages reserving, risk adjustment forecasting, and financial reporting. They collaborate with senior leadership on reinsurance strategies, supervise the corporate actuarial functions, and ensure compliance with regulatory standards. They also coach actuarial talent and enhance methodologies for better accuracy and efficiency in reporting and analysis.
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Hi, we're Oscar. We're hiring a Vice President, Corporate Actuarial to join our Actuarial team.

Oscar is the first health insurance company built around a full stack technology platform and a 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 Vice President, Corporate Actuarial is responsible for managing and leading all Actuarial functions for the Valuation pillar of the Actuarial department in support to the Chief Actuarial Officer. The Vice President, Corporate Actuarial directly shapes departmental and company strategy via a deep understanding and expertise with regard to Oscar’s business goals, the health insurance industry, the nationwide regulatory landscape, and the pillar which they support. He or she incorporates and furthers actuarial expertise throughout the organization through their knowledge of leading industry best practices. The Vice President, Corporate Actuarial is an experienced people leader, with proven ability to lead and develop a team of senior and technical Actuarial talent.

You will report to the Chief Actuarial Officer.

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.

You must reside in one of the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role is: $255,200 per year - $334,950 per year.  You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants and annual performance bonuses.

Responsibilities

  • Oversee corporate actuarial team leading the monthly reserving and risk adjustment forecasting processes, ensuring accurate and reliable estimates of loss reserves. Use statistical techniques and actuarial modeling to monitor trends, factoring in economic changes, and internal shifts in claims processes. 
  • Provide financial updates and actionable insights to senior leadership membership on a monthly basis, enabling the company to make informed decisions on pricing, risk, and reserve adequacy.
  • Serve as appointed actuary for Oscar Health
  • Collaborate with senior leadership to design and implement reinsurance strategies that optimize risk transfer, capital allocation, and surplus preservation.
  • Maintain clear and consistent communication and collaboration with data science, underwriting, and claims departments to discuss and proactively manage potential changes in claim trends.
  • Coordinate feedback and communication between pricing and reserving functions to bridge the Budget and Reserving views of profitability across the business.
  • Manage relationships with external actuarial consultants and auditors
  • Engage with Finance to inform P/L views and earnings calls
  • Perform and/or ensure Actuarial staff are upholding the professional duties and continuing education as required for Actuarial Opinions, and Certifications.
  • Own Corporate Actuarial functions for Oscar’s total book of business: all markets, lines of business, and entities. Including but not limited to:
    • Ensure processes are executed timely, maintaining optimal quality and consistency of information reported.
    • Provide an effective level of visibility into financial results and drivers to support analysis, reporting, and business outcomes.
    • Communicate and review with business, executives, and key internal and external stakeholders.
  • Own, and continually enhance Actuarial methodologies and business processes specific to the Valuation pillar. Including but not limited to:
    • Ensure models are continuously improved to incorporate the latest data and Actuarial and statistical approaches, and ensure compatibility and consistency across the Actuarial organization.
    • Execute and drive understanding of key risks and drivers with external Stakeholders at the Management Committee and below.
    • Ensure processes and underlying infrastructure are scalable to support future growth needs, develop subject matter expertise, and ensure sufficient staffing to ensure business continuity.
  • Responsible for owning and explaining Actuarial reporting and control requirements. Including but not limited to:
    • Own the development, enhancement and monitoring of key reporting initiatives or functions such as: IBNR, risk adjustment accruals, reinsurance estimates, RADV estimates, other accruals, rate setting, Actuarial Baseball Cards (ABCs), trend reporting, medical cost drivers, and product/line/initiatives monitoring.
    • Ensure development of robust controls surrounding the above reporting to understand impacts and drivers.
  • Lead the robust capacity building for new products, strategic functions, or initiatives. Including but not limited to:
    • Work closely with executives, departmental leadership, and other key internal stakeholders to build and enhance risk assessment, impacts, analytics, and understand key drivers.
    • Develop analytics and modeling capabilities to foster effective product decisions.
  • Coaching and development of Actuarial leadership within the team to identify successors, and support their teams toward professional designations and to meet Actuarial team objectives.
  • Compliance with all applicable laws and regulations.
  • Other duties as assigned.

Qualifications

  • Associate or Fellow in the Society of Actuaries or Casualty Actuary Society.
  • 15+ years of relevant Actuarial experience. 
  • 8+ years of strong leadership and pricing background within the insurance industries.

Bonus Points

  • Mastery of Actuarial principles specific to the role, the Affordable Care Act, business drivers, rate setting methodologies, valuation, and financial & regulatory reporting.
  • Demonstrated ability to navigate ambiguity to drive to outcomes, work with large datasets and distill analyses into actionable business insights with seasoned judgment and experience.
  • Collaborative attitude to work in highly cross-functional organizations.
  • Executive presence and ability to communicate with, influence, and manage stakeholders, including C-level executives.

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here

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.

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 Notice to Job Applicants.

Top Skills

Actuarial Modeling
Actuarial Principles
Financial Reporting Techniques
Statistical Techniques

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