Manager, Risk Adjustment, Provider Partnerships

🕒 il y a 1 mois

🇺🇸 États-Unis – Télétravail

💵 $96 131 - $126 172 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

💰 Responsable de comptes

🦅 Parrain de Visa H1B

Cette entreprise a parrainé des visas H1B par le passé.

👻 Score fantôme 7%

Ce que ça veut dire : la probabilité que personne ne recrute vraiment pour cette offre.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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Oscar Health

Site WebLinkedInTous les Emplois

1001 - 5000 employés

Fondée en 2012

⚕️ Assurance santé

🏥 Santé

💰 €355 000 000 Post-IPO Debt - Oscar Health en 2025-09

Healthcare Insurance • Healthcare

Oscar est une agence de recrutement spécialisée dans les STEM de classe mondiale qui offre des solutions de talents de premier plan. L'entreprise opère sous six marques, connectant les meilleurs talents avec des sociétés dans divers secteurs, y compris la technologie, la construction, les sciences de la vie et les énergies renouvelables. Avec des bureaux dans le monde entier, Oscar est reconnue comme l'une des cinq meilleures entreprises où travailler et s'engage à fournir des services de recrutement d'excellence.

Description

• 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

🎯 Exigences

• 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)

🏖️ Avantages

• 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

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