Head of Retrospective Risk Management

2 weeks ago


Tempe, Arizona, United States Oscar Health Full time
Head of Retrospective Risk Management at Oscar

Oscar is a pioneering health insurance organization dedicated to enhancing member experience through innovative technology. We are on the lookout for a Head of Retrospective Risk Management to become a vital part of our team.

Key Responsibilities:
  • Oversee all operations related to Retrospective Risk Management
  • Supervise the Medical Chart Retrieval Process
  • Establish and meet goals for Medical Record Retrieval
  • Collaborate with data analytics teams for process optimization
  • Ensure adherence to industry regulations
Required Qualifications:
  • 10+ years of experience in healthcare operations
  • 7+ years of expertise in Risk Adjustment
  • Proven management experience
  • Experience managing large-scale initiatives
Preferred Qualifications:
  • Master's degree or relevant clinical licensure
  • Background in management consulting within the healthcare sector
  • Proficiency in Excel and Google Sheets for modeling
  • Experience in a growth-stage company environment

Oscar is committed to being an Equal Opportunity Employer, promoting a diverse and inclusive workplace. We invite you to contribute your unique skills and perspectives to help reshape the healthcare landscape.



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