Oscar is an AI operations analyst that watches every location 24/7, catching revenue leaks, labor inefficiencies, and compliance risks, then delivering the alerts, reports, and action plans your team needs to fix them fast. Backed by Techstars.
About the role
Risk Adjustment accounts for differences in members’ health needs and expected cost of care. Accurate and complete clinical documentation helps ensure that a member’s health status is appropriately represented. Prospective Risk Adjustment focuses on proactively supporting opportunities for healthcare providers to review members’ health information and accurately document conditions addressed during clinical care, in accordance with applicable clinical coding and documentation requirements. Found on 1752vc Careers, the job board for startup and VC roles.
What they're looking for
- Strong analytical and problem-solving skills, with the ability to investigate operational or data-related issues and support resolution
- Strong attention to detail and organizational skills, with the ability to manage multiple priorities and recurring deliverables
- Ability to work effectively with data, reporting tools, spreadsheets, and operational workflows
- Strong written and verbal communication skills with the ability to collaborate effectively across teams and with external partners
- Experience within a health plan, provider organization, healthcare technology company, or other healthcare environment
- Exposure to prospective Risk Adjustment programs, health assessments, Point-of-Care workflows, provider gap programs, healthcare claims, or vendor operations
More about this role
Hi, we're Oscar. We're hiring a Analyst, Risk Adjustment to join our Risk Adjustment team.
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.
Risk Adjustment accounts for differences in members’ health needs and expected cost of care. Accurate and complete clinical documentation helps ensure that a member’s health status is appropriately represented. Prospective Risk Adjustment focuses on proactively supporting opportunities for healthcare providers to review members’ health information and accurately document conditions addressed during clinical care, in accordance with applicable clinical coding and documentation requirements. These efforts may include sharing relevant clinical information with providers at the point of care, conducting virtual or in-home health assessments, and providing reports that identify historical or suspected conditions for provider review and clinical validation.
The Analyst, Risk Adjustment supports the day-to-day execution...
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