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
The Manager, Risk Adjustment (RA), Provider Partnerships leads the strategy and execution of Oscar's provider-facing risk adjustment initiatives. You will own cross-functional program delivery across Risk Adjustment, Network, Market, Data Science, and external provider partners; establishes the provider engagement and performance-management approach; and translates performance data into targeted improvement strategies.
What they're looking for
- 4+ years of relevant experience in program management, strategic planning, provider partnerships, health-plan operations, risk adjustment, contracting, or a related field
- Demonstrated experience leading complex, cross-functional programs from planning through implementation and ongoing performance management
- Experience using quantitative and qualitative data to identify opportunities, recommend actions, and communicate conclusions to varied stakeholder audiences
- Strong stakeholder-management, communication, and problem-solving skills, including experience navigating external partner relationships
More about this role
Hi, we're Oscar. We're hiring a Manager, Risk Adjustment, Provider Partnerships to join our Strategic Planning 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.
The Manager, Risk Adjustment (RA), Provider Partnerships leads the strategy and execution of Oscar's provider-facing risk adjustment initiatives. You will own cross-functional program delivery across Risk Adjustment, Network, Market, Data Science, and external provider partners; establishes the provider engagement and performance-management approach; and translates performance data into targeted improvement strategies. You will represent Risk Adjustment priorities in contract, implementation, and operational planning discussions, manages risks and dependencies, and drives measurable improvement in documentation and coding outcomes.
You will report into the Director, Risk Adjustment Prospective and Planning.
Work Location: This position is fully remote and open to candidates residing in...
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