Senior Director, Actuarial - Risk Adjustment
Core
Leads Oscar's ACA risk adjustment actuarial function, managing financial reporting, forecasting, and strategic analysis for senior leadership.
Role type
Senior Director, Actuarial (Risk Adjustment)
Builds
Financial disclosures, strategic business insights, and enterprise-wide decision-making frameworks.
Domain
Health Insurance / US Government Programs (ACA)
Required skills
ACA risk adjustment expertise, financial reporting, forecasting, executive advising, team leadership, quantitative analysis, market morbidity analysis, advanced analytics, pricing strategy, regulatory compliance
Preferred skills
Appointed actuary qualification, SOA Fellowship, claims reserving experience, process management, workflow optimization
Technologies
Actuarial modeling tools, financial reporting systems, data analytics platforms
Responsibilities
Lead financial reporting and forecasting for ACA risk adjustment; Develop strategic insights on risk scores and performance; Analyze market morbidity drivers; Lead executive-facing reporting and presentations; Build strategic partnerships across business units; Direct advanced analytics initiatives; Lead and develop a team of actuarial professionals
Seniority
Senior Director, hands-on IC with team leadership