Hi, we're Oscar. We're hiring a Manager, Offshore Risk Adjustment to join our Value Capture 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 Manager, Offshore Risk Adjustment manages off-shore coding teams to ensure accurate, and timely delivery of coding services. You will include daily operations oversight, performance management, quality assurance, and collaborations with onshore/offshore stakeholders to meet service goals, compliance standards, and performance goals. You will report into the Associate Director, Risk Adjustment. Work Location: This is a remote position, open to candidates who reside in: Dallas, TX. 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 is: $96,130 - $126,171 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: - Manage onboarding of offshore coding teams, including IT setup, contingent worker administration, training, and ongoing development. - Monitor overall offshore team performance, assessing project production, coding quality, and pace following industry standards, regulatory deadlines, and business objectives. - Oversee the management, project volume pacing plans, and quality scoring reporting for offshore risk adjustment activities. - Be the primary liaison, facilitating communication between offshore teams and onshore leadership. - Evaluate a variety of medical records and provider documentation to ensure the validity and accuracy of ICD-10-CM codes; create and conduct routine quality audits and pacing plans for weekly presentation. - Review Service Level Agreement (SLA) performance; timely address and identify coding trends to leadership, promote resolution and implement necessary changes. - Develop standard operating procedures, workflows, and best practices. - Ensure team performance and accuracy follow State and Federal regulatory guidance, guaranteeing that all Risk Adjustment activities comply with applicable laws, regulations, rules, and policies. - Support and facilitate change management programs, including the implementation of new tools, systems, or coding guidelines. - 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 - 5+ Years of experience in RA Coding and Auditing - 3+ Years experience as the subject matter expert in areas of Medicare Advantage and Commercial (ACA) Risk Adjustment - 1+ year of training or mentoring RA Coder/Auditor - 2+ Years Experience with Electronic Health Records (EHRs) and Clinical Continuity of Care Documents (CCDs) - Certified Professional Coder (CPC) - Excellent communication and stakeholder management skills - Strong analytical, problem solving, and organizational skills Bonus points: - PAHM or other health related certification - Additional clinical or coding certifications (CPMA, CRC, CCS - P, CCS, RHIA, RHIT) - Risk Adjustment Data Validation (RADV) Experience - Clinical Documentation Improvement (CDI) Education / Provider Education Feedback 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.

Hi, we're Oscar. We're hiring a Manager, Offshore Risk Adjustment to join our Value Capture 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 Manager, Offshore Risk Adjustment manages off-shore coding teams to ensure accurate, and timely delivery of coding services. You will include daily operations oversight, performance management, quality assurance, and collaborations with onshore/offshore stakeholders to meet service goals, compliance standards, and performance goals. You will report into the Associate Director, Risk Adjustment. Work Location: This is a remote position, open to candidates who reside in: Atlanta, GA. 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 is: $96,130 - $126,171 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: - Manage onboarding of offshore coding teams, including IT setup, contingent worker administration, training, and ongoing development. - Monitor overall offshore team performance, assessing project production, coding quality, and pace following industry standards, regulatory deadlines, and business objectives. - Oversee the management, project volume pacing plans, and quality scoring reporting for offshore risk adjustment activities. - Be the primary liaison, facilitating communication between offshore teams and onshore leadership. - Evaluate a variety of medical records and provider documentation to ensure the validity and accuracy of ICD-10-CM codes; create and conduct routine quality audits and pacing plans for weekly presentation. - Review Service Level Agreement (SLA) performance; timely address and identify coding trends to leadership, promote resolution and implement necessary changes. - Develop standard operating procedures, workflows, and best practices. - Ensure team performance and accuracy follow State and Federal regulatory guidance, guaranteeing that all Risk Adjustment activities comply with applicable laws, regulations, rules, and policies. - Support and facilitate change management programs, including the implementation of new tools, systems, or coding guidelines. - 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 - 5+ Years of experience in RA Coding and Auditing - 3+ Years experience as the subject matter expert in areas of Medicare Advantage and Commercial (ACA) Risk Adjustment - 1+ year of training or mentoring RA Coder/Auditor - 2+ Years Experience with Electronic Health Records (EHRs) and Clinical Continuity of Care Documents (CCDs) - Certified Professional Coder (CPC) - Excellent communication and stakeholder management skills - Strong analytical, problem solving, and organizational skills Bonus points: - PAHM or other health related certification - Additional clinical or coding certifications (CPMA, CRC, CCS - P, CCS, RHIA, RHIT) - Risk Adjustment Data Validation (RADV) Experience - Clinical Documentation Improvement (CDI) Education / Provider Education Feedback 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.

• Lead, manage, and continuously improve our internal control system and processes in collaboration with the Head of Accounting & Controlling and the CFO. • Lead the risk management function with a focus on managing financial, operational and reputational risks. • Develop and implement risk management policies and procedures. • Conduct risk assessments, analyze large data sets, and identify potential risks. • Develop and implement risk mitigation strategies. • Monitor and report on risks. • Work with other departments to ensure compliance with regulations. • Stay up-to-date on industry trends and best practices.

• Align organizational controls to NIST CSF 2.0 and other relevant frameworks, translating policies into measurable technical standards and control requirements • Maintain continuous SOC 2 Type II readiness by managing the year-round evidence lifecycle and validating control effectiveness across all Trust Services Criteria using GRC tools • Conduct and support technology and cybersecurity risk assessments across key domains, including IAM, change management, incident response, vulnerability management, logging and monitoring, cloud/SaaS, data protection, endpoint security, and backup/disaster recovery • Monitor control performance and risk telemetry against established thresholds, proactively identifying, escalating, and addressing at-risk controls before critical failure points are reached • Lead corrective action plans (CAPs) for identified gaps, partnering with control owners to drive timely remediation and root cause resolution • Perform risk-based assessments of critical third parties, including SaaS, AI, and cloud providers, evaluating SOC reports and security posture against internal risk standards • Document control design and operating effectiveness, including process narratives, control mappings, and evidence standards • Serve as a liaison for internal and external audits, providing clear, defensible documentation and rationale for control decisions • Develop executive dashboards and reporting that provide visibility into framework alignment, control health, and audit readiness, enabling proactive risk insights for leadership • Collaborate cross-functionally with business and technology teams to embed security and risk standards into products and services and support timely, comprehensive risk reporting to senior leadership • Perform other duties as assigned.