Risk Adjustment Consultant
4 days ago
Oscar Health is seeking an experienced Actuarial Analyst II - Valuation to join our team in New York City, Tempe, or Los Angeles. The ideal candidate will have a strong background in actuarial science and experience with health insurance concepts and nuances.
About the RoleThe successful candidate will be responsible for maintaining and enhancing core valuation models, ensuring consistency and standardization across team users. They will also contribute to developing and submitting regulatory filings, providing recommendations for strategic valuation decisions, and identifying meaningful observations of experience across plan designs, providers, vendors, and markets.
As an Actuarial Analyst II, you will promote and shape Oscar actuarial best practices concerning automation and documentation, maintain relationships with internal and external stakeholders, and aid in the onboarding of analysts. Compliance with all applicable laws and regulations is also essential.
Responsibilities- Maintain and enhance valuation models used to develop Incurred but not Reported (IBNR) projections and risk adjustment accruals.
- Develop and provide recommendations for the accrual setting process with respect to IBNR claims, Risk adjustment and Shared Savings deals.
- Promote and shape Oscar actuarial best practices concerning automation and documentation.
- Bachelor's degree in a STEM field.
- Passed two actuarial exams.
- 2+ years of experience in a related field.
We offer a competitive salary, employee benefits, unlimited vacation time, and annual performance bonuses. Our team values diversity and inclusion, and we strive to create an environment where everyone feels welcome and supported.
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