OscarHiring

Senior Director, Actuarial - Risk Adjustment

  • Remote, United States
  • Lead
  • Posted 2 weeks ago
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In one line

Leads the ACA risk adjustment actuarial work at a health insurer, managing a team and advising senior leadership; fully remote within the US.

About the role

The function covers financial reporting, forecasting and strategic analysis for risk adjustment, working alongside finance, operations and data science. Success means turning complex actuarial results into clear guidance for executives.

At a glance

Pay
Not stated in the posting
Remote scope
Remote, United States
Seniority
Lead
Skills
ACA risk adjustment, Financial reporting, Forecasting, Pricing
Posted
16 Oct 2026
Last checked
3 Nov 2026

What you will do

  • Run monthly close, external audits and regulatory reviews for ACA risk adjustment reporting and forecasting
  • Build projections of ultimate risk scores and analyze market morbidity drivers with outside consultants
  • Present financial forecasts and strategic recommendations to senior leadership and executive forums
  • Direct advanced analytics that shape pricing, growth and network decisions
  • Manage and coach a team of actuarial professionals

What they look for

  • Bachelor's degree in a STEM field or four years of equivalent experience
  • At least 12 years of quantitative analysis in healthcare
  • 5 or more years influencing an executive leadership committee
  • Background in a pricing role or similar analytics leadership
  • Deep knowledge of government programs risk adjustment

Benefits

  • Employee benefits, unlimited vacation, company equity grants and annual performance bonuses

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Questions about this job

Can I do this job remotely, and from which countries?

The posting lists it as remote for people in the United States.

What does this job pay?

The posting does not state a salary, so there is no figure to quote.

What experience is needed?

It is a lead role. The posting asks for: bachelor's degree in a STEM field or four years of equivalent experience; at least 12 years of quantitative analysis in healthcare; 5 or more years influencing an executive leadership committee. Skills it names include ACA risk adjustment, Financial reporting, Forecasting, Pricing.

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