New York, New York, United States · Remote OK
$26/hr–$39/hr
Hi, we're Oscar. We're hiring a Specialist, Risk Adjustment to join our Risk Adjustment team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving ou…
Skills: Risk adjustment, Medical record retrieval, Provider outreach, Healthcare operations, Data tracking
New York, New York, United States · Hybrid
$181k–$237k/yr
Hi, we're Oscar. We're hiring a Director, Business Operations and Strategy to join our Business Operations Team. Oscar is the first health insurance company built around a full stack technology platform and a relentless …
Skills: Business operations, Strategic planning, Operational excellence, Project management, Cross-functional leadership
San Francisco, California, United States · Remote OK
$181k–$237k/yr
Hi, we're Oscar. We're hiring a Senior Software Engineer, Cloud Infrastructure / SRE to join our Engineering team. Oscar is the first health insurance company built around a full stack technology platform and a relentles…
Skills: Cloud Infrastructure, SRE, AWS, GCP, Terraform
Tempe, Arizona, United States · Hybrid
$181k–$237k/yr
Hi, we're Oscar. We're hiring a Senior Software Engineer, Cloud Infrastructure / SRE to join our Engineering team. Oscar is the first health insurance company built around a full stack technology platform and a relentles…
Skills: Cloud infrastructure, SRE, AWS, GCP, Terraform
Boston, Massachusetts, United States · Remote OK
$181k–$237k/yr
Hi, we're Oscar. We're hiring a Senior Software Engineer, Cloud Infrastructure / SRE to join our Engineering team. Oscar is the first health insurance company built around a full stack technology platform and a relentles…
Skills: Cloud infrastructure, Site reliability engineering, AWS, GCP, Terraform
Los Angeles, California, United States · Hybrid
$181k–$237k/yr
Hi, we're Oscar. We're hiring a Senior Software Engineer, Cloud Infrastructure / SRE to join our Engineering team. Oscar is the first health insurance company built around a full stack technology platform and a relentles…
Skills: Cloud infrastructure, Site reliability engineering, AWS, GCP, Terraform
New York, New York, United States · Hybrid
$181k–$237k/yr
Hi, we're Oscar. We're hiring a Senior Software Engineer, Cloud Infrastructure / SRE to join our Engineering team. Oscar is the first health insurance company built around a full stack technology platform and a relentles…
Skills: Cloud infrastructure, Site reliability engineering, AWS, GCP, Terraform
Arizona, United States · Remote Solely
Hi, we're Oscar. We're hiring a Care Specialist to join our Member & Provider Escalations team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members…
Skills: Customer support, Healthcare, Escalation management, Case management, Communication
Florida, United States · Remote Solely
Hi, we're Oscar. We're hiring a Care Specialist to join our Member & Provider Escalations team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members…
Skills: Customer support, Healthcare, Escalations management, Member services, Provider services
Georgia, United States · Remote Solely
Hi, we're Oscar. We're hiring a Care Specialist to join our Member & Provider Escalations team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members…
Skills: Customer support, Healthcare, Escalation management, Case management, Communication
Texas, United States · Remote Solely
Hi, we're Oscar. We're hiring a Care Specialist to join our Member & Provider Escalations team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members…
Skills: Customer support, Healthcare, Escalation management, Case management, Communication
New York, New York, United States · Hybrid
$107k–$140k/yr
Hi, we're Oscar. We're hiring a Website Operations Manager to join our Marketing team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our membe…
Skills: Content Management System, CMS, Google Analytics, SEO, A/B testing
New York, New York, United States · Hybrid
$140k–$196k/yr
Hi, we're Oscar. We're hiring a Senior Manager, Insurance Growth Strategic Implementation to join our Strategic Implementation Team. Oscar is the first health insurance company built around a full stack technology platfo…
Skills: Program management, Project management, Strategic implementation, Change management, Process improvement
Arizona, United States · Remote OK
$130k–$140k/yr
Hi, we're Oscar Medical Group. We're hiring full time Nurse Practitioners and Physician Assistants to join our remote Virtual Health Assessment team. This position requires full-practice licensure in GA plus one of the f…
Skills: Preventative Care Screenings, Medication Reconciliation, Medical Diagnosis, Health Coaching, Clinical Documentation Improvement
Atlanta, Georgia, United States · Remote OK
$68k–$89k/yr
Hi, we're Oscar. We're hiring a Coordinator, Delegated Vendor Management to join our Network Contracting team. Oscar is the first health insurance company built around a full stack technology platform and a relentless fo…
Skills: Vendor management, Program implementation, Configuration, Testing, Monitoring
Tempe, Arizona, United States · Hybrid
$68k–$89k/yr
Hi, we're Oscar. We're hiring a Coordinator, Delegated Vendor Management to join our Network Contracting team. Oscar is the first health insurance company built around a full stack technology platform and a relentless fo…
Skills: Vendor management, Program implementation, Configuration, Testing, Monitoring
New York, New York, United States · Hybrid
$75k–$99k/yr
Hi, we're Oscar. We're hiring a Coordinator, Delegated Vendor Management to join our Network Contracting team. Oscar is the first health insurance company built around a full stack technology platform and a relentless fo…
Skills: Vendor management, Project management, Program implementation, Configuration, Testing
Tempe, Arizona, United States · Hybrid
$68k–$89k/yr
Hi, we're Oscar. We're hiring a Coordinator, Behavioral Health Vendor Management to join our Network Contracting team. Oscar is the first health insurance company built around a full stack technology platform and a relen…
Skills: Vendor management, Behavioral health, Project management, Program implementation, Claim testing
Atlanta, Georgia, United States · Remote OK
$68k–$89k/yr
Hi, we're Oscar. We're hiring a Coordinator, Behavioral Health Vendor Management to join our Network Contracting team. Oscar is the first health insurance company built around a full stack technology platform and a relen…
Skills: Vendor management, Program implementation, Configuration, Testing, Monitoring
New York, New York, United States · Hybrid
$75k–$99k/yr
Hi, we're Oscar. We're hiring a Coordinator, Behavioral Health Vendor Management to join our Network Contracting team. Oscar is the first health insurance company built around a full stack technology platform and a relen…
Skills: Vendor management, Behavioral health, Project management, Program implementation, Configuration
Sign up with Clera and we'll reach out the moment a role actually fits you — no more spraying applications into the void.
The specialist supports daily risk adjustment operations, including medical record retrieval, provider outreach, and inventory management. They also represent the team to internal and external partners to ensure departmental goals and regulatory deadlines are met.
Candidates must have a bachelor's degree or equivalent experience, along with at least one year of experience in healthcare operations and chart retrieval. Additionally, at least two years of experience in goal-oriented environments is required.
Hi, we're Oscar. We're hiring a Specialist, Risk Adjustment to join our Risk Adjustment team.
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.
The Specialist, Risk Adjustment for the Affordable Care Act (ACA) line of business supports the Risk Adjustment team and management to meet communicated individual and departmental goals, deadlines set forth by Centers for Medicare & Medicaid Services (CMS) and Health and Human Services (HHS) , and be active and engaged in establishing effective Risk Adjustment processes. You will provide support to our daily operations and deliverables related to our Retrospective and/or Prospective Risk Adjustment Programs.
You will report into the Manager, Risk Adjustment Retrospective.
Work Location: This is a remote position, open to candidates who reside in: Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Missouri, Nebraska, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas and Virginia. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote
Pay Transparency: The base pay for this role in the states of New Jersey and New York is: $29.86 - $39.19 per hour. The base pay for this role in all other locations is: $26.87 - $35.27 per hour. You are also eligible for employee benefits, monthly vacation accrual at a rate of 15 days per year.
This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.
At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
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.
Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team ([email protected]) to make the need for an accommodation known.
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.
We're on a mission to reinvent health insurance.
Oscar Health is a leading healthcare technology company, whose mission is to make a healthier life accessible and affordable for all.
Offices: New York, New York 10013, US · Playa Vista, CA 90066, US · Tempe, AZ 85281, US
We're on a mission to reinvent health insurance.
Oscar Health is a leading healthcare technology company, whose mission is to make a healthier life accessible and affordable for all.
Offices: New York, New York 10013, US · Playa Vista, CA 90066, US · Tempe, AZ 85281, US
