Manager, Risk Adjustment, Provider Partnerships (Fully Remote)

Oscar; United States; Remote; USD 120,000 - 160,000; Full time

Job summary

Oscar is seeking a Manager, Risk Adjustment (RA), Provider Partnerships to lead strategy and execution of provider-facing RA initiatives. You will own cross-functional program delivery across RA, Network, Market, Data Science, and external providers.

You will report into the Director, Risk Adjustment Prospective and Planning. Responsibilities include end-to-end RA program management, partnering with multiple teams to embed RA requirements in provider agreements, and analyzing provider

Qualifications

• 4+ years of program management or health-plan operations experience.
• Proven track record leading complex cross-functional programs.
• Strong stakeholder management and communication skills.

Responsibilities

• Lead end-to-end strategy, implementation, and ongoing management of the RA Provider Partnerships program.
• Partner with Network, Market, Legal/Contracting, and Data Science teams to incorporate RA requirements into provider agreements.
• Analyze provider performance and develop targeted improvement plans.

Skills

Program management

Strategic planning

Provider partnerships

Cross-functional leadership

Job description

• The Manager, Risk Adjustment (RA), Provider Partnerships leads strategy and execution of provider-facing RA initiatives.
• You will own cross-functional program delivery across Risk Adjustment, Network, Market, Data Science, and external provider partners.
• You will report into the Director, Risk Adjustment Prospective and Planning.

Responsibilities

• Lead end-to-end strategy, implementation, and ongoing management of the RA Provider Partnerships program.
• Partner with Network, Market, Legal/Contracting, and Data Science teams to incorporate RA requirements into provider agreements.
• Analyze provider performance and develop targeted improvement plans.

Requirements

• 4+ years experience in program management, strategic planning, provider partnerships, or health-plan operations.
• Demonstrated experience leading complex, cross-functional programs.
• Strong stakeholder-management and communication skills.

Oscar

Oscar is a health insurance company built around a full-stack technology platform focused on serving its members. Founded in 2012, Oscar is a sizable organization that fosters a culture of authenticity and belonging.