Manager, Risk Adjustment, Provider PartnershipsPosted today$107K–$140K
The opportunity
Hi, we're Oscar. We're hiring a Manager, Risk Adjustment, Provider Partnerships to join our Strategic Planning team.
What you'll do
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.
What they're looking for
- Build scalable provider education, engagement, and incentive approaches that: improve adoption of risk-adjustment best practices.
- Compliance with all applicable laws and regulations.
- Other duties as assigned.
- + years of relevant experience in program management, strategic planning,: provider partnerships, health-plan operations, risk adjustment, contracting, or a related field.
