Remote opportunity at
OSCAR ASSOCIATES (AMERICAS), LLCManager, Risk Adjustment, Provider Partnerships
OSCAR ASSOCIATES (AMERICAS), LLC is hiring a Manager, Risk Adjustment, Provider Partnerships to join its Strategic Planning team. The employer operates as a health insurance company…
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About This Role
OSCAR ASSOCIATES (AMERICAS), LLC is hiring a Manager, Risk Adjustment, Provider Partnerships to join its Strategic Planning team. The employer operates as a health insurance company built around a full-stack technology platform. In this fully remote position, reporting directly to the Director, Risk Adjustment Prospective and Planning, the successful candidate will lead the strategy and execution of provider-facing risk adjustment initiatives. The role involves managing cross-functional program delivery across Network,…
Job Description
OSCAR ASSOCIATES (AMERICAS), LLC is hiring a Manager, Risk Adjustment, Provider Partnerships to join its Strategic Planning team. The employer operates as a health insurance company built around a full-stack technology platform. In this fully remote position, reporting directly to the Director, Risk Adjustment Prospective and Planning, the successful candidate will lead the strategy and execution of provider-facing risk adjustment initiatives.
The role involves managing cross-functional program delivery across Network, Market, Data Science, Risk Adjustment, and external provider partners. Responsibilities include defining the provider engagement and performance management approach, representing risk adjustment priorities during contract and operational planning discussions, managing risks, and translating performance data into actionable improvement strategies to drive better documentation and coding outcomes.
This position is open to candidates residing in the United States, excluding Alaska, Delaware, Hawaii, Louisiana, Montana, North Dakota, Oklahoma, West Virginia, Wyoming, and U.S. Territories. Daily tasks are performed from a home office, with occasional travel expected for company events and team meetings. Base salary ranges vary by location, spanning from USD 106,812 to 140,191 per year in specific states, and USD 96,131 to 126,172 per year in other locations. Additional compensation elements include annual performance bonuses, sales commissions, and participation in an unlimited vacation program.
Responsibilities
- Lead the end-to-end strategy, execution, and ongoing management of the Risk Adjustment Provider Partnerships program.
- Partner with Network, Market, Legal/Contracting, Risk Adjustment, and Data Science teams to embed risk-adjustment requirements into provider agreements and operating models.
- Build operational relationships with provider organizations to align on performance expectations and improvement opportunities.
- Analyze provider performance, coding trends, and workflows to identify root causes and design targeted mitigation plans.
- Manage cross-functional implementation of provider interventions, handle dependencies, and resolve escalation items.
- Communicate program insights, risk assessments, and performance reporting to internal leaders and external partners.
- Create scalable provider education, engagement, and incentive initiatives to drive adoption of risk-adjustment best practices.
- Comply with all applicable regulations and laws while handling other assigned duties.
Requirements
- Bring at least four years of relevant experience in program management, strategic planning, provider partnerships, health-plan operations, risk adjustment, contracting, or a related area.
- Demonstrate experience leading complex, end-to-end cross-functional programs through implementation and performance management.
- Show proof of utilizing qualitative and quantitative data to formulate recommendations and communicate with various stakeholder groups.
- Possess strong communication, problem-solving, and stakeholder management skills involving external partners.
Qualifications
- Prior risk adjustment background within a health plan, health system, provider organization, or consulting setting.
- Familiarity with provider contracting, value-based care, engagement models, or provider performance programs.
- Experience using BigQuery, SQL, or comparable analytical tools.
- Background in Lean, Six Sigma, or similar process improvement methodologies.
Core Skills
Benefits
- Medical, dental, and vision insurance coverage
- Participation in an unlimited vacation program
- Annual performance bonuses and sales commissions
- 11 paid holidays
- Paid sick time
- Paid parental leave
- 401(k) plan participation
- Life and disability insurance
- Paid wellness time and reimbursements
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
Is this position remote?
Yes, this role is fully remote and can be performed from a home office anywhere in the U.S., excluding Alaska, Delaware, Hawaii, Louisiana, Montana, North Dakota, Oklahoma, West Virginia, Wyoming, and U.S. Territories. Occasional travel is required for team meetings and company events.
What is the salary range for this role?
The base pay is USD 106,812 to 140,191 per year in California, Connecticut, New Jersey, New York, and Washington, and USD 96,131 to 126,172 per year in all other locations. Eligible employees also receive annual performance bonuses, sales commissions, and benefits.
What experience is required to apply?
Candidates must have four or more years of relevant experience in strategic planning, program management, provider partnerships, health-plan operations, risk adjustment, contracting, or a related field, alongside cross-functional program leadership and data analysis experience.
Sample Interview Questions
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