Description

You will maintain Oscar's forecasting, valuation, and pricing processes for ACA markets, overseeing actuarial models for pricing, trend analytics, IBNR projections, and risk adjustment accruals.

Requirements

• Bachelor's degree in a STEM field
• Passed minimum of two actuarial exams
• 2+ years experience in a related field
• Proficient in coding
• Experience with health insurance concepts

Responsibilities

• Maintain core pricing and plan design models ensuring consistency and standardization
• Develop and submit regulatory filings and recommend strategic pricing decisions
• Develop recommendations for accrual setting for IBNR claims, risk adjustment, and shared savings
• Identify and triage meaningful observations across plan designs, providers, vendors, and markets
• Promote actuarial best practices in automation and documentation