Actuary, Valuation
CurrentThis role contributes to the monthly actuarial close process, focusing on accruals for IBNR, Value-Based Care (VBC) arrangements, MLR rebates, capitation, and runoff Medicare Advantage plans, while maintaining robust controls and documentation to support audit requirements. Additionally, developing and maintaining Oscar’s Shared Savings calculator, collaborating with cross-functional teams, including Profit and Loss (P&L) and Network Strategy teams, to conduct annual reviews of shared savings contracts and working with Data Science and Engineering teams to address attribution and data requirement updates. Participating in select Joint Operating Committees (JOCs) with external provider partners to evaluate VBC performance and address inquiries. Also, conducting ad hoc analyses for a variety of needs, including state and federal reporting, external reinsurance partner analysis, and VBC analysis.