Senior Manager, Actuarial - Risk Adjustment (Health Insurance)

Location: Fully remote for candidates residing in the United States, excluding Alaska, Delaware, Hawaii, Louisiana, Montana, North Dakota, Oklahoma, West Virginia, Wyoming, and U.S. Territories. Daily work is completed from a home office, with occasional travel for team meetings and company events.

Base pay: $163,944–$215,177 per year in California, Connecticut, New Jersey, New York, and Washington; $147,550–$193,659 per year in other eligible locations.

Company

hirify.global is a health insurance company built around a full-stack technology platform and a focus on serving its members.

What you will do

• Develop Oscar's ability to predict risk scores and ACA market morbidity with actuaries and data scientists.
• Source and evaluate new data for Oscar and market-level predictions.
• Maintain and evolve risk adjustment reporting and forecasting models.
• Support monthly financial closes, ongoing forecasts, transfer estimates, and risk adjustment performance analyses.
• Lead quarterly audit deliverables and maintain internal control compliance for accurate financial reporting.
• Improve actuarial automation and documentation, support analyst onboarding, and maintain relationships with internal and external stakeholders.

Requirements

• College degree or equivalent skills attainment.
• Associate or Fellow of the Society of Actuaries.
• 6+ years of quantitative analysis experience.
• Compliance with applicable laws and regulations.

Nice to have

• ACA risk adjustment, ACA pricing/MedEcon, or non-ACA risk adjustment expertise.
• Strong understanding of health insurance concepts and nuances.

Culture & Benefits

• Fully remote work with occasional travel for team meetings and company events.
• Employee medical, dental, and vision benefits.
• Unlimited vacation program, paid holidays, sick time, parental leave, and wellness benefits.
• 401(k) participation, life and disability insurance, and annual performance bonuses.
• Equal opportunity environment focused on belonging and support.