Manager, Risk Adjustment, Provider Partnerships

What you'll do

• Manage the Risk Adjustment Provider Partnerships program, including plans, milestones, risks, and success metrics.
• Partner with internal teams and provider organizations on agreements, operating models, performance expectations, and improvement plans.
• Analyze provider performance and lead interventions, reporting, education, and engagement efforts.

What they ask for

• 4+ years of relevant experience in program management, strategic planning, provider partnerships, health-plan operations, risk adjustment, contracting, or a related field.
• 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.
• Strong stakeholder-management, communication, and problem-solving skills, including experience with external partner relationships.

Nice to have

• Risk adjustment, provider contracting, value-based care, provider performance, or provider engagement experience.
• SQL/BigQuery or comparable analytical tools; Lean/Six Sigma or similar process improvement experience.

Pay

$106,812 - $140,191 per year (base salary; California, Connecticut, New Jersey, New York, and Washington); $96,131 - $126,172 per year (base salary; all other locations)

Tools

SQL/BigQuery

AI focus

The posting states that Oscar has AI Guidelines for candidate use and AI in recruiting; it does not describe AI work for this role.