--- title: 'Analyst, Risk Adjustment at Oscar Health' canonical: 'https://feeny.ai/job/analyst-risk-adjustment-oscar-health-new-york-c78hq1g83m0c' type: 'job' last_seen: '2026-10-29' --- # Analyst, Risk Adjustment at Oscar Health - **Company:** Oscar Health - **Location:** New York, NY - **Posted:** 2026-10-27 - **Last confirmed live:** 2026-10-29 - **Apply:** https://job-boards.greenhouse.io/oscar/jobs/8303591 ## Job description Hi, we're Oscar. We're hiring a Analyst, 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: Risk Adjustment accounts for differences in members’ health needs and expected cost of care. Accurate and complete clinical documentation helps ensure that a member’s health status is appropriately represented. Prospective Risk Adjustment focuses on proactively supporting opportunities for healthcare providers to review members’ health information and accurately document conditions addressed during clinical care, in accordance with applicable clinical coding and documentation requirements. These efforts may include sharing relevant clinical information with providers at the point of care, conducting virtual or in-home health assessments, and providing reports that identify historical or suspected conditions for provider review and clinical validation. The Analyst, Risk Adjustment supports the day-to-day execution and performance of Prospective Risk Adjustment programs. This role partners with internal teams and external vendors to ensure operational workflows are functioning as intended, program data and reporting are accurate, claims are processed appropriately, and operational issues are identified and resolved in a timely manner. The analyst will support a portfolio of initiatives including Point-of-Care tools, Virtual Health Assessments (VHA), In-Home Assessments (IHA), and provider reporting to support the review of member conditions. This role is well suited for an analytical, detail-oriented professional interested in developing expertise in Risk Adjustment and healthcare operations. You will report into the Sr. Manager, Strategic Initiatives (Risk Adjustment). Work Location: This position is based in our New York, NY office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid Pay Transparency: The base pay for this role is: $75,348- $98,894 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: - Prospective Risk Adjustment Program Operations (30%) – Support daily operations across prospective Risk Adjustment programs, including Point-of-Care tooling, VHA, IHA, and provider gap-reporting initiatives. Monitor program activity and workflows to ensure processes are functioning as intended; investigate operational issues and coordinate resolution or escalation as appropriate. - Vendor Operations & Support (25%) – Support the day-to-day operational needs of external vendors. Coordinate recurring deliverables and data exchanges, respond to operational questions, track issues and action items, and partner with vendors and internal stakeholders to drive timely resolution. - Reporting, Data Analysis & Reconciliation (20%) – Develop and maintain recurring reports, trackers, and analyses to monitor program performance, including assessment activity, provider participation, vendor performance, claims activity, and other key operational metrics. Perform data validation and reconciliation across internal and vendor data sources to identify discrepancies, trends, and opportunities for operational improvement. - Point-of-Care & Provider Programs (15%) – Support programs that provide relevant member health information, including historical and suspected conditions, to healthcare providers for review and clinical validation. Support Point-of-Care tools and provider reporting initiatives and assist with resolving related data, reporting, and workflow issues. - Member & Claims Operations (10%) – Support member-level program operations, including reviewing and processing appropriate exclusions from VHA and IHA programs. Monitor and reconcile claims associated with prospective Risk Adjustment initiatives to ensure appropriate processing and payment; investigate discrepancies and partner with relevant teams to support resolution. Requirements: - Strong analytical and problem-solving skills, with the ability to investigate operational or data-related issues and support resolution. - Strong attention to detail and organizational skills, with the ability to manage multiple priorities and recurring deliverables. - Ability to work effectively with data, reporting tools, spreadsheets, and operational workflows. - Strong written and verbal communication skills with the ability to collaborate effectively across teams and with external partners. Bonus points - Knowledge of healthcare operations, Risk Adjustment, claims, provider operations, or health plan processes. - Experience analyzing data, identifying trends or discrepancies, and translating findings into actionable next steps. - Proficiency with Excel or Google Sheets; familiarity with SQL, Tableau, Looker, or similar analytics tools is a plus. Work experience: - Experience within a health plan, provider organization, healthcare technology company, or other healthcare environment. - Exposure to prospective Risk Adjustment programs, health assessments, Point-of-Care workflows, provider gap programs, healthcare claims, or vendor operations Education: - Bachelor’s degree in a healthcare, business, analytical, or related discipline preferred. This is an authentic Oscar Health job opportunity. 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](https://oscarhealth.com/careers/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](https://oscarhealth.com/privacy-policy). ## About Oscar Health ## Company Overview - **One-liner**: Oscar Health is a healthcare technology company that builds a full-stack health insurance platform to make high-quality, affordable healthcare accessible for individuals, families, and employers. - **Entity Type**: Public (NYSE: OSCR) - **Headquarters**: New York City, USA (TriBeCa) - **Founded**: 2012 - **Founders**: Mario Schlosser (CTO & Co-Founder); additional co-founders are not publicly detailed in the provided sources. ## Core Business - **Primary industry**: Health insurance / healthcare technology - **Target customers**: B2C (individuals, families, Medicare beneficiaries) and B2B (employers through Small Group plans and ICHRA) - **Mission**: “Make a healthier life accessible and affordable for all.” ## Products & Services - **Oscar Individual & Family Plans** – Health insurance sold on- and off-exchange, featuring $0 virtual urgent care, $3 generic medications, and dedicated Care Teams. - **Medicare Advantage** – Medicare health plans launched in 2020, available in select states. - **Oscar for Employers (Small Group / ICHRA)** – Employer-sponsored health benefits, including Individual Coverage Health Reimbursement Arrangements (ICHRA). - **Oscar Provider Platform** – A technology platform that connects providers with Oscar’s member engagement tools. - **Oscar App & Care Router** – Digital engagement platform that routes members to appropriate care (virtual or in-person) and enables 24/7 communication with a Care Team. ## Market Standing - **Valuation/Market Cap**: Not directly provided in the search results; as a public company, market cap is available via SEC filings (e.g., ~$6B as of recent market data, but not confirmed in these sources). - **Key Metric**: Serves approximately 1.6 million members as of August 2024 (the company also reports a figure of ~3.2 million members, possibly including additional plan types or a different measurement). - **Notable Investors/Partners**: Not specified in the provided search results; the company went public in 2021 and counts major venture firms among its early investors. - **Growth Signals**: Active in 20 states; member base grew from 1 million in 2022 to over 1.6 million; launched Medicare Advantage in 2020; has 238 active job postings as of the search date, indicating expansion. ## Competitive Advantages - **Full-stack technology platform** – Oscar owns the entire insurance stack (claims, care management, provider network), enabling data-driven personalization and member engagement. - **High member trust and engagement** – 68% of members trust Oscar for care guidance; 44% are digitally engaged; Net Promoter Score of 66; 76% have interacted with digital or Care Team channels. - **Care Team model** – Every member is assigned a dedicated Care Team that coordinates care, reduces costs, and improves outcomes. - **Virtual care integration** – $0 virtual urgent care with 97% member satisfaction; virtual primary care in some markets. ## Strategic Focus - **Geographic expansion** – Entering new states and markets, including Medicare Advantage. - **AI and technology** – Actively investing in AI to improve care routing, cost savings, and member experience (see “AI @ Oscar” page). - **Provider platform growth** – Scaling the Oscar Provider Platform to partner with independent providers and health systems. - **Employer market** – Expanding ICHRA and Small Group offerings to reach more businesses. ## Why Work Here - **Mission-driven culture** – “Change healthcare for good” with a focus on making insurance simple, transparent, and human. Values include transparency, grit, scientific thinking, and “members above all.” - **Comprehensive benefits** – Health insurance (obviously), 10+ weeks of parental leave, wellness days, fitness classes, mental health support, 401(k) plan, HSAs, and learning & development programs. - **Offices** – Headquarters in New York City (TriBeCa), plus offices in Los Angeles (Silicon Beach) and Tempe, Arizona (Health Hub). Remote/hybrid policy not explicitly stated, but many roles appear location-flexible. - **Growth opportunity** – With 238 open positions and recent member growth, employees can work on challenging problems at scale. - **Diverse and inclusive environment** – Publishes a diversity report and emphasizes belonging; employees describe culture as collaborative and high-impact. ## Sources 1. [hioscar.com/about](https://www.hioscar.com/about) 2. [hioscar.com/careers](https://www.hioscar.com/careers) 3. [hioscar.com/careers/life](https://www.hioscar.com/careers/life) 4. [linkedin.com/company/oscar-health](https://www.linkedin.com/company/oscar-health) 5. 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