Oscar Health: Senior Director, Actuarial - Risk Adjustment — Remote

About Oscar Health

Oscar Health is a health-insurance business built around a technology platform and member services. Its recruitment board also describes Oscar Medical Group activities in virtual health assessments and virtual care. Those notices reflect distinct parts of the wider operation: insurance products and member administration alongside clinical services. Technology, insurance operations and care delivery consequently appear in different roles on the board, with the employing team determining the service and professional responsibilities of an individual position.

The position and its setting

Oscar Health lists Senior Director, Actuarial - Risk Adjustment in Remote, under reference 8281718. The details below separate the work described by the employer from essential conditions, preferred experience and practical preparation advice.

• Department: Actuarial
• Employer listing date: 17 October 2026

Responsibilities and work described

• The Senior Director, Actuarial – Risk Adjustment leads Oscar's ACA risk adjustment actuarial function, with responsibility for financial reporting, forecasting, and strategic analysis
• You manage a team and partners across Finance, Market P&L, Risk Adjustment Operations, Medical Economics, and Data Science to inform business strategy and financial disclosures
• Translate risk adjustment performance, market dynamics, and financial implications into clear, actionable insights for senior leadership
• Report to the Vice President, Corporate Actuarial
• Work: Location: This position is fully remote and open to candidates residing in the U.S., excluding Alaska
• Delaware
• Hawaii
• Louisiana
• Montana
• North Dakota
• Oklahoma
• West Virginia
• Wyoming; and U.S
• Territories
• Daily work is completed from your home office, with occasional travel required for team meetings and company events. #LI-Remote
• Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $218,592 - $286,902 per year

Essential requirements and candidate background

• Bachelor's degree in a STEM field, or 4 years commensurate experience
• 12+ years of quantitative analysis in the healthcare industry
• 5+ years of collaborating and influencing an Executive Leadership Committee
• Experience: a pricing role, or a related analytics-driven leadership role
• Government programs risk adjustment subject matter expertise, preferably in ACA Marketplace

Preferred experience and additional strengths

• Extensive experience leading actuarial financial reporting, including claims reserving and risk adjustment
• Qualified (or willing to become qualified) to serve as appointed actuary for insurance companies the American Academy of Actuaries’ Specific qualification standard
• Communication, collaboration, and relationship-building skills
• Process management skills, with experience streamlining workflows and driving operational efficiency
• Collaborative and influential leadership style, with experience partnering across multiple teams and stakeholders
• Familiarity: ACA-specific healthcare laws, regulations, and compliance requirements
• Fellow of the Society of Actuaries (SOA), or on the track to become one
• This is an authentic Oscar Health job opportunity
• 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
• Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts
• 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 Privacy Policy

Location, schedule and contract conditions

For this overseas or regional listing, confirm work authorisation and any location restrictions with the employer. The location does not establish visa sponsorship or permission to work remotely from India.

• Oscar is the first health insurance company built around a full stack technology platform and a relentless 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
• Work arrangement: Remote
• Advertised location: Remote

Pay and application dates

A verified salary figure is not established in this article. An online estimate for another Senior Director, Actuarial - Risk Adjustment vacancy is not an offer for reference 8281718; use the employer’s own pay disclosure and recruitment communication.

A closing date is not confirmed in this article. Check the current employer page before submitting: an undated posting can change or be withdrawn.

How to apply to Oscar Health

Applications follow the official employer page linked below.

Open the official Oscar Health posting below and match the title and reference 8281718.

Compare your qualifications and experience with the essential conditions for the Remote position, then read the preferred criteria separately.

Prepare an accurate CV and the supporting items requested in that employer’s application. Provide only information and documents you are authorised to share.

Use the employer’s application option, complete the required fields and review the submission. Retain the acknowledgement when one is provided. Job Alerts World does not receive the application.

Practical preparation: AI

An AI-related example should make the task and evaluation explicit. Explain the inputs, the system’s intended output and how you checked errors, usefulness or reliability, rather than relying on the model name alone.

Relevant skills

• AI/ML
• ACA
• AI
• audit
• financial reporting
• compliance
• insurance
• stakeholder management
• communication
• partnership development