Specialist, Risk Adjustment
This is the employer's own posting, not a copy on a job board.
What we know
Is it still open?
Confirmed still open
Last checked 1d ago — checked against the employer's own applicant tracking system, which is the company answering directly.
We re-read the employer's own applicant tracking system and the posting was still there. That is the company answering directly.
How old is it?
Posted 40d ago
The date the source published, not the day we noticed it (2026-08-05). Last seen at its source 1h ago.
Is it remote?
Remote
That is the location the employer filed this posting under. Quoted as written — we do not re-word the source's own location.
Who may apply?
United States
No source stated where this role may be worked. This is read from the ad's own words.
What the ad says
…open to candidates residing in the U.S., excluding Alaska…
Pay
$30–39/hr
Read out of the job description by us, not from a structured field. Shown in the posting's own currency and period; we never convert.
Carried by 1 source
-
greenhouse employer's own board first seen 12d ago · last seen 1h ago
- location not stated
The listing
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.
About the role:
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 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: $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.
Responsibilities:
- Support daily operations pertaining to Risk Adjustment including but not limited to: medical record retrieval, provider outreach, researching contact information, creating provider level reports and presentations.
- Maintain a grasp of our medical records inventory and deliverables to ensure we are keeping/exceed pace against goal
- Make outreach to internal and external partners to improve our ability to hit retrieval goals
- Represent Risk Adjustment to our internal and external partners and help influence positive outcomes
- Support team with monitoring, tracking, and statusing our inventory
- Develop an in-depth understanding of day-to-day workflows at Oscar
- Become acquainted with internal tools and technical processes, and highlight areas of opportunity for improvement
- Support your manager by guiding decisions on an ongoing basis
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements:
- Bachelor's degree in a relevant field of study or commensurate work experience.
- 1+ years experience in chart retrieval or provider outreach
- 1+ years of experience in Healthcare Operations
- 2+ years of experience with being held to and accomplishing goals
Bonus points:
- 1+ years of experience in risk adjustment
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 (accommodations@hioscar.com) 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.