[Hiring] Manager, Risk Adjustment, Provider Partnerships @Oscar Health

Role Description

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
• External provider partners

Your responsibilities include:

• Establishing the provider engagement and performance-management approach.
• Translating performance data into targeted improvement strategies.
• Representing Risk Adjustment priorities in contract, implementation, and operational planning discussions.
• Managing risks and dependencies.
• Driving 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 the U.S., excluding Alaska; Delaware; Hawaii; Louisiana; Montana; North Dakota; Oklahoma; West Virginia; Wyoming; and U.S. Territories. Daily work is completed from your home office, with occasional travel required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $106,812 - $140,191 per year. The base pay for this role in all other locations is: $96,131 - $126,172 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, annual performance bonuses and sales commissions.

Qualifications

• 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.

Requirements

• Risk adjustment experience in a health plan, provider organization, health system, or consulting environment.
• Experience with provider contracting, value-based care, provider performance programs, or provider engagement models.
• SQL/BigQuery or comparable analytical-tool experience.
• Lean/Six Sigma, or similar process improvement experience.

Benefits

• Medical, dental, and vision benefits.
• 11 paid holidays.
• Paid sick time.
• Paid parental leave.
• 401(k) plan participation.
• Life and disability insurance.
• Paid wellness time and reimbursements.