Director, Data Science - Risk Adjustment
$218.59k - $286.9kOscar Health
Job Description
Job Description
Hi, we're Oscar. We're hiring a Director, Data Science - Risk Adjustment to join our Data Science 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 Director, Data Science Risk Adjustment, leads teams developing advanced analytics, machine learning, and AI-driven solutions that support Oscar's risk adjustment strategy and broader business objectives. This leader partners cross-functionally across Data Science, Product, Engineering, Clinical, Finance, and Actuarial organizations to build scalable analytical systems, drive operational and financial performance, and deliver high-impact insights in complex healthcare environments. The role combines organizational leadership, technical depth, and strategic influence, requiring strong experience in healthcare analytics, statistical modeling, experimentation, and modern AI/LLM-enabled workflows.
You will report into the VP, Data.
Work Location: This position is based in either our New York City office, Los Angeles office, Tempe Office, or can sit remotely in San Fransisco, Boston, Dallas, or Atlanta markets. If you live in the NYC, LA, or Tempe markets, this will be 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: $218,592 - $286,902 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses.
Responsibilities:
- Translates company goals into roadmaps, plans, and tactics for their area. Key part of the department leadership team to influence in team strategy, operations, scope and culture
- Leads and manages medium sized team(s) of data scientists and/or analysts, including managers
- Influences and collaborates closely with senior data and business leaders across multiple areas
- Leads team(s) that research, develop, and maintain data pipelines, statistical/ML models, and/or advanced analyses
- Lead delivery of solutions through organizational design, cross-functional advocacy, systems design, management, and/or mentorship.
- Champion a culture of collaboration and synergy within the data science team, among stakeholders, and across the broader organization.
- Act as an advocate for the data science team, communicating their contributions and needs to senior leadership and other departments to ensure visibility and alignment with organizational goals.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements:
- 10+ years of industry or other quantitative technical fields (which may include academia).
- 7+ years of work experience working with SQL, R, and/or Python to query, manipulate and analyze data
- 7+ years experience building data models, using more advanced analytics methods, statistical modeling, and/or data processing
- 5+ years of experience working with data in healthcare (risk adjustment and/or actuarial experience preferred)
- 5+ years working in a complex environment and managing interactions with multiple cross-functional stakeholders (business, product, engineering, etc.)
- 3+ years of experience working with LLMs, entity recognition and extraction techniques
- 3+ years of people management experience
Bonus points:
- Advanced degree in a quantitative or technical field
- Experience in the finance and/or insurance industries
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 (View email address on ziprecruiter.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.
- ...journeys, product strategy, and risk-adjusted economics. Join us to build scalable, data-driven decisioning that improves... ...portfolio performance. As an Executive Director — Lending & Installment... ...of experience in analytics, data science, or quantitative strategy roles...Risk
$89.17k - $142.68k
Blue Cross and Blue Shield of North Carolina is seeking a Senior Data Analyst with expertise in ACA Risk Adjustment and EDGE data submissions. The role requires strong experience in data flows and analytical validation. You'll prepare complex data for various stakeholders...RiskRemote job$89.17k - $142.68k
Blue Cross and Blue Shield of North Carolina is seeking a highly skilled Senior Data Analyst who specializes in ACA Risk Adjustment and EDGE submissions. You will act as a liaison between business and technical teams to ensure data accuracy and reporting. This role requires...RiskRemote job- Blue Cross and Blue Shield of North Carolina is looking for a Senior Data Analyst skilled in Affordable Care Act (ACA) Risk Adjustment. This role will be essential in ensuring the accuracy and completeness of EDGE data submissions. The ideal candidate should possess strong...RiskRemote jobWork at office
$89.17k - $142.68k
Blue Cross and Blue Shield of North Carolina is seeking a Senior Data Analyst with expertise in Affordable Care Act (ACA) Risk Adjustment. You will collaborate with business stakeholders and technical teams, ensuring accuracy in EDGE data submissions and analysis. The...RiskRemote jobWork at office$115.4k - $192.3k
## Manager Data ScienceApplylocations: Philadelphia, PA: Connecticut... ...requisition id: R114712AI for Science, Research Intelligence &... ...that requires accommodation or adjustment, please let us know by completing... ...protected by law. #J-18808-Ljbffr LexisNexis Risk SolutionsRiskLocal areaWorldwide- ...media, and sports—by leveraging data and AI as core assets. Our... .... The Role As Executive Director on the AI Science team, you will lead the... ...scientists working on pricing, risk, and capital markets problems... ...with tangible P&L and risk-adjusted ROI. Mentor and guide a small...RiskFull timeRelocation package
- Senior Director, Data Architecture page is loaded## Senior Director, Data Architecturelocations... ...**Continuous Improvement, Innovation, & Risk Management*** Champion continuous improvement... ...’s or Master’s degree in Computer Science, Data Science, Data Engineering, Information...Risk
$200k - $300k
...Business Execution team, the Data Organization is responsible for... ...to drive business value. This Director-level role is a senior global... ...allocation, etc). Familiarity with risk analytics associated with the... ...University degree in Computer Science, Data Science, Business...RiskFull timeWork at officeRemote workShift work2 days per week$110k - $120k
...120.00/yr Are you a visionary data leader with a passion for building... .... is seeking a dynamic Senior Director, Data and Performance to drive... ...identify performance trends, risks, and opportunities, and... ...required; Master’s degree in data science, analytics, education policy,...RiskTemporary workLocal areaRemote workLong distanceFlexible hours$150k - $190k
...multiple initiatives, product development and data‑driven efforts, ensuring alignment with... ...roadmaps, project plans, dependencies, risks, and solutions across workstreams. Manage... ..., Product & Data, Engineering, Marketing Science, etc., to ensure seamless collaboration...Risk$189k - $244k
Associate Director of Clinical Data Management Join to apply for the Associate Director of Clinical Data... ...organization and larger Data Science teams at Recursion. Daily, you will be... ...oversight of CRO’s, timelines and project risk management. You can expect to work on...RiskFull timeWork at officeLocal areaRelocation package- ...Join JPMorganChase’s Card business as a Data Scientist Director, leading the Card Data & Analytics... ...targeting strategies. Partner with Product, Risk, and Finance stakeholders to define... ...environment. Deep expertise in data science and analytics, including hands‑on...Risk
- MetroPlus is seeking a Risk Adjustment Data Engineer to establish and manage data processes related to Risk Adjustment. Responsibilities include maintaining data tables, responding to requests, and interacting with internal and external stakeholders. The ideal candidate...Risk
$140k
...Deadline: March 30, 2026 As an Associate Director in our Financial Crimes Advisory (FCA)... ...Projects include but are not limited to risk assessments, audits, gap assessments, policy... ..., Information System Management, and Data Science (or equivalent) 8+ years' experience in...RiskRemote jobWork at officeLocal area- A data solutions provider is seeking a Data Engineer to design and build scalable data ingestion pipelines to normalize clinical data that supports quality reporting, risk adjustment, and regulatory programs. The ideal candidate should have at least 3 years of experience...RiskRemote job
- Global Head of Claims Data & Analytics page is loaded## Global Head of Claims Data & Analyticslocations... ...*** Bachelor’s or Master’s degree in Data Science, Statistics, Mathematics, Computer Science... ...the insurance, financial services, or risk management sectors.* Proven expertise...RiskWorldwide
- ...analytics consulting firm recognized for our deep expertise in Data Science, Machine Learning, and AI. Our partnerships with Fortune 100 companies... .... Ensure products align with BFS regulatory, compliance, and risk considerations. Qualifications 10+ years of product management...RiskLocal area
$110k - $130k
...signals with world-class decision science and vertical AI, EDO equips... ...syndicated, investment-grade data that aligns media to business... ...-team dependencies; surface risks and blockers early before they... ...requires more time, negotiate adjusted timelines with clients in a way...RiskFull timeWork experience placementWork at officeImmediate startRemote workFlexible hours$67.9k - $199.14k
...CVS Health has an exciting opportunity for a Senior Informatics Manager to join our dynamic Risk Adjustment Analytics team! In this role, you will lead and execute complex data analyses to drive health plan-level risk adjustment performance through data-driven insights...RiskHourly payFull timeTemporary workWork experience placementLocal areaRemote work- ...consulting firm that helps organizations turn data, workflows, and emerging technologies... ...project teams, workstreams, timelines, risks, and stakeholder expectations. Review and... ...Background in analytics strategy, data science, financial planning, demand forecasting,...RiskRemote work
$200k - $250k
The Alliance is hiring a Risk Adjustment Director to lead strategic management and oversight of the Risk Adjustment Department. This position involves directing staff and providing expert guidance on coding and risk adjustment methodologies. The ideal candidate should...RiskRemote job- Drips.com is seeking a Manager of Risk Adjustment to advance risk adjustment performance and oversee critical operations. This role requires a strong analytical mindset to improve risk scores while collaborating with various clinical and operational teams. The ideal candidate...Risk
$99k - $180k
Job Title: Data Quality Lead / Data Management Lead - Oncology Location: USA - Remote -... ...Who You Are: Required: BS or MS in Life Sciences, Data/Computer Science, or equivalent industry... ...Responsibilities will include: Develop risk management strategies and proactively...RiskRemote work- ...summary: We are seeking a strategic and data-driven Head of Analytics to lead our analytics... ...: Bachelor’s degree in Data Science, Health Informatics, Public Health, Statistics... ...measures (HEDIS, STAR, etc.), and risk adjustment. Bilingual (Spanish) is a plus. Why Join...RiskFull timeWork at office
- A leading not-for-profit health insurer is seeking a Risk Adjustment Program Manager in New York City. You will develop strategies to ensure risk adjustment data accuracy, coordinate work among partners, and supervise a team to reconcile submissions. Ideal candidates will...Risk
- VillageCare is seeking a Full-Time Medicare Risk Adjustment Coding Manager who will be responsible for coordinating Risk Adjustment and Quality coding operations. This remote position requires candidates to reside in NY, NJ, or CT. The successful candidate will oversee...RiskRemote jobFull time
$136.2k - $197.4k
...apply for the Manager of Clinical Data Management role at BioSpace 1... ...groups within the larger Data Science teams at Recursion Daily, you... ...CRO’s, timelines and project risk management. You can expect to... ...Join Reporting to the Senior Director, Clinical Data Management and...RiskPermanent employmentFull timeTemporary workWork at officeLocal areaRelocation package$1,000 per month
...wellness platform. As Director of Analytics, you will... ...with Product, Marketing, Risk, Engineering, and User... ...uncover insights, and embed data-driven decision making... ...analytics, data science, or quantitative analytics... ...require remote work or adjusted schedules. Our goal is...RiskTemporary workWork at officeImmediate startRemote workFlexible hours- The Metropolitan Transportation Authority (MTA) is seeking a Security Data Science Specialist to analyze sensitive security data. This role requires skills in Python, SQL, and data management to develop actionable strategies and reports. The successful candidate will work...Risk
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Director, Data Science - Risk Adjustment. Be the first to apply!
- data quality manager New York, NY
- project manager data analytics New York, NY
- data product manager New York, NY
- data delivery manager New York, NY
- data solutions manager New York, NY
- lead data manager New York, NY
- clinical data manager New York, NY
- remote data manager New York, NY
- hr data manager New York, NY
- senior manager data analytics New York, NY

