Manager, Risk Adjustment, Provider Partnerships

Oscar Health

. Lead the end-to-end strategy, implementation, and ongoing management of the Risk Adjustment Provider Partnerships program, including program plans, milestones, operating rhythms, risks, and success metrics .

Posted 9/25/2026full-timeRemote • United StatesMid-LevelSenior💰 $96,131 - $126,172 per yearWebsite

Tech Stack

Tools & technologies

BigQuerySQL

About the role

Key responsibilities & impact

Lead the end-to-end strategy, implementation, and ongoing management of the Risk Adjustment Provider Partnerships program, including program plans, milestones, operating rhythms, risks, and success metrics
Partner with Network, Market, Legal/Contracting, Risk Adjustment, and Data Science teams to incorporate risk-adjustment requirements and enablement approaches into provider agreements and operating models
Establish and maintain operational relationships with provider organizations; drive alignment on performance expectations, improvement opportunities, and mutual commitments
Analyze provider performance, workflows, and documentation/coding trends to identify causes, prioritize opportunities, and develop targeted mitigation and improvement plans
Lead cross-functional implementation of provider-specific interventions; manage dependencies, resolve issues, and escalate decisions or risks that threaten outcomes or timelines
Develop and communicate performance reporting, program insights, risks, and recommendations to internal leaders and external partners
Build scalable provider education, engagement, and incentive approaches that improve adoption of risk-adjustment best practices
Ensure compliance with all applicable laws and regulations
Perform other duties as assigned
Report to the Director, Risk Adjustment Prospective and Planning

Requirements

What you’ll need

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
Compliance with all applicable laws and regulations
SQL/BigQuery or comparable analytical-tool experience (bonus)
Risk adjustment experience in a health plan, provider organization, health system, or consulting environment (bonus)
Experience with provider contracting, value-based care, provider performance programs, or provider engagement models (bonus)
Lean/Six Sigma, or similar process improvement experience (bonus)

Benefits

Comp & perks

Employee benefits
Unlimited vacation program
Annual performance bonuses
Sales commissions
Medical benefits
Dental benefits
Vision benefits
11 paid holidays
Paid sick time
Paid parental leave
401(k) plan participation
Life insurance
Disability insurance
Paid wellness time and reimbursements
Fully remote work from a home office
Occasional travel for team meetings and company events