Oscar Health: Manager, Risk Adjustment, Provider Partnerships — Remote

About Oscar Health

Oscar Health is a health-insurance business built around a technology platform and member services. Its recruitment board also describes Oscar Medical Group activities in virtual health assessments and virtual care. Those notices reflect distinct parts of the wider operation: insurance products and member administration alongside clinical services. Technology, insurance operations and care delivery consequently appear in different roles on the board, with the employing team determining the service and professional responsibilities of an individual position.

The position and its setting

Oscar Health lists Manager, Risk Adjustment, Provider Partnerships in Remote, under reference 8227014. The details below separate the work described by the employer from essential conditions, preferred experience and practical preparation advice.

• Department: Value Capture
• Employer listing date: 26 September 2026

Responsibilities and work described

• The Manager, Risk Adjustment (RA), Provider Partnerships leads the strategy and execution of Oscar's provider-facing risk adjustment initiatives
• Own cross-functional program delivery across Risk Adjustment, Network, Market, Data Science, and external provider partners; establishes the provider engagement and performance-management approach; and translates performance data into targeted improvement strategies
• Represent Risk Adjustment priorities in contract, implementation, and operational planning discussions, manages risks and dependencies, and drives measurable improvement in documentation and coding outcomes
• Report into the Director, Risk Adjustment Prospective and Planning
• Work: Location: This position is fully remote and open to candidates residing in the U.S., excluding Alaska
• Delaware
• Hawaii
• Louisiana
• Montana
• North Dakota
• Oklahoma
• West Virginia
• Wyoming; and U.S
• Territories
• Daily work is completed from your home office, with occasional travel required for team meetings and company events. #LI-Remote
• Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $106,812 - $140,191 per year

Essential requirements and candidate background

• 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
• Stakeholder-management, communication, and problem-solving skills, including experience navigating external partner relationships

Preferred experience and additional strengths

• Risk adjustment experience in a health plan, provider organization, health system, or consulting environment
• Experience: provider contracting, value-based care, provider performance programs, or provider engagement models
• SQL/BigQuery or comparable analytical-tool experience
• Lean/Six Sigma, or similar process improvement experience
• This is an authentic Oscar Health job opportunity
• Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience
• Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements
• Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts
• California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy

Location, schedule and contract conditions

For this overseas or regional listing, confirm work authorisation and any location restrictions with the employer. The location does not establish visa sponsorship or permission to work remotely from India.

• Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members
• We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family
• Work arrangement: Remote
• Advertised location: Remote

Pay and application dates

A verified salary figure is not established in this article. An online estimate for another Manager, Risk Adjustment, Provider Partnerships vacancy is not an offer for reference 8227014; use the employer’s own pay disclosure and recruitment communication.

A closing date is not confirmed in this article. Check the current employer page before submitting: an undated posting can change or be withdrawn.

How to apply to Oscar Health

Applications follow the official employer page linked below.

Open the official Oscar Health posting below and match the title and reference 8227014.

Compare your qualifications and experience with the essential conditions for the Remote position, then read the preferred criteria separately.

Prepare an accurate CV and the supporting items requested in that employer’s application. Provide only information and documents you are authorised to share.

Use the employer’s application option, complete the required fields and review the submission. Retain the acknowledgement when one is provided. Job Alerts World does not receive the application.

Practical preparation: SQL

SQL references usually call for more detail than “database knowledge”. Explain the data you queried, the business or engineering question and how you checked that joins, aggregates and filters produced the intended result.

Relevant skills

• SQL
• AI/ML
• AI
• process improvement
• Lean
• Six Sigma
• compliance
• insurance
• sales