Risk adjustment jobs in Hoboken, New Jersey - Page 2Create job alerts

Key Responsibilities Supervise and support a team of ~10 Risk Adjustment Coders Monitor coder productivity, accuracy, and overall quality performance Ensure adherence to CMS RADV guidelines and HCC coding standards Lead coding quality audits and validation processes Provide ongoing coaching, mentors

Job DescriptionHinge is the dating app designed to be deleted In today's digital world, finding genuine relationships is tougher than ever. At Hinge, we’re on a mission to inspire intimate connection to create a less lonely world. We’re obsessed with understanding our users’ behaviors to help them find love, and our success is defined by one simple metric– setting up great dates. With millions of users across the globe, we’ve become the most trusted way to find a relationship, for all. About the Role Trust & Safety is foundational to Hinge’s mission of helping people find meaningful connections. We are looking for a Senior Director of Engineering to lead the organization responsible for protecting our community and enabling safe, authentic experiences. You will oversee engineers (including managers) across four product teams, partnering closely with Product, AI/ML, and Data to set strategy and ensure organizational health. A key component of this role is outward-facing leadership: building partnerships across Match Group and the broader industry to anticipate trends and invest in future-proof capabilities.Responsibilities • Strategy & Organizational Health: Lead the Trust & Safety engineering org, defining multi-quarter roadmaps in partnership with cross-functional leadership. Hire and coach engineering managers, creating clear growth paths and fostering a culture of high standards, psychological safety, and accountability., • Execution Excellence: Drive predictable delivery, balancing urgent risk response with long-term platform investments. Establish scalable operating rhythms for planning, technical reviews, and incident learnings., • Technical Leadership: Provide oversight for T&S platforms (detection, enforcement, appeals, identity) and ensure strong system design for privacy-conscious workflows. Drive excellence in observability, data quality, and safety-critical development standards., • Partnerships: Build relationships with Match Group leaders to share patterns and align on capabilities. Translate industry trends (e.g., AI threats, regulatory changes) into actionable strategy and rigorous build-vs-buy decisions., • AI Change Management: In close partnership with Product and AI leaders, modernize enforcement and user experiences with AI-enabled workflows that are measurable, accountable, and trusted by users.What We're Looking For, • Experience: 10+ years in software engineering (distributed systems at scale) and 4+ years managing managers with a track record of scaling healthy teams., • Technical Judgment: Strong grasp of architecture, reliability, data/ML-adjacent systems, and mobile + backend collaboration., • Domain Expertise: Intuition for Trust & Safety domains such as abuse prevention, fraud, moderation workflows, identity, or user reporting., • Operational Agility: Comfort operating in high-urgency environments, managing incident response without sacrificing long-term quality., • Strategic Thinking: Relentless focus on driving user value whilst navigating regulatory requirements., • Communication: Exceptional ability to influence across executive leadership, Legal/Policy partners, and external stakeholders. Nice to Have, • Experience partnering with AI/ML teams on detection, classification, or GenAI-related risk mitigation., • Background in regulated or safety-sensitive domains (marketplaces, fintech, social platforms). #Hinge .

Job DescriptionDescription: Join a high-performing, mission-driven organization at the forefront of value-based care and quality performance. As Director of Quality and Provider Engagement, you will have a direct seat at the table for both strategy and operations, shaping the future of care for more than 350,000 lives. Role Overview: • The Director of Quality and Provider Engagement will collaborate closely with clinical and operational leadership to define strategy, identify and track key performance measures, and drive execution. You will oversee initiatives to increase member engagement, retention, and quality outcomes while delivering measurable financial results through value-based care. This is a senior, cross-functional role that blends lifecycle strategy, audience segmentation, and rigorous experimentation to continuously improve the member and provider experience. The position is intentionally balanced: approximately 50% hands-on operational involvement and 50% people leadership, including coaching and developing a high-performing team. The Director of Quality and Provider Engagement reports directly to the Chief Medical Officer. Why this role is unique? • Join one of the best-performing IPAs and ACOs in the region in quality and value-based care performance, recognized by both payers and provider groups as best in class., • Work alongside top professionals in value-based payment who are passionate about innovation, impact, and equity in care delivery., • Help drive performance for a panel of over 350,000 lives, with the ability to see your strategies translate into tangible clinical and financial outcomes., • Be part of a mid-size, nimble organization where decisions are made quickly, bureaucracy is limited, and your voice meaningfully shapes direction., • Sit at the same table as executive leadership for strategy and operations and collaborate daily with mission-driven talent across clinical, analytics, IT, and provider engagement. Responsibilities: • Lead and mentor two high-talent, highly engaged departments: Quality and Provider Engagement, ensuring tight alignment with the company’s vision for health care quality and value., • Develop and execute strategic plans to improve performance in CMS Star Ratings, HEDIS, Quality Rating System metrics, and other value-based programs (ACOs and payer-specific initiatives relating to quality)., • Provide leadership for strategic plan implementation, translating high-level goals into clear roadmaps, accountability structures, and measurable outcomes., • Drive regular interdisciplinary meetings to ensure quality initiatives are executed effectively, on time, and with clear ownership and follow-through., • Serve as operational leader and thought partner on quality, including strategy, process design, implementation, and continuous improvement, • Lead efforts to move the IPA to consistent 4–5 Star performance across key lines of business., • Represent Quality in internal and external meetings, clearly communicating performance, key initiatives, and outcomes to leadership, payers, and providers., • Build and deepen business relationships with providers participating in quality and value partnerships; proactively problem-solve and address provider concerns., • Partner with internal stakeholders to design and deliver provider education and training focused on quality improvement, documentation, and risk adjustment., • Collaborate with Information Technology to design and continuously enhance the Point-of-Care tools, incorporating feedback from providers, internal teams, and external stakeholders., • Lead digital transformation for the quality function by reducing manual reporting and championing technology-enabled workflows, analytics, and automation., • Partner with IT, Data, and Accounting to manage the distribution of quality incentives, risk adjustment earnings, and shared savings., • Own the strategy and execution of programs aimed at increasing member quality, engagement, and retention across the network.Requirements:, • Bachelor’s degree in Healthcare, Health Administration, Public Health, or a related field required; Master’s degree preferred., • 10+ years of experience in health plans, IPAs, ACOs, or similar environments with direct exposure and responsibilities to HEDIS, Star Ratings and provider quality performance., • Demonstrated success leading teams and initiatives that improved quality and provider engagement in a value-based care environment., • Strong leadership presence with the ability to interface confidently with senior executives, physicians, and external partners., • Proven track record of developing and mentoring high-performing teams and fostering a culture of accountability, collaboration, and continuous improvement., • Excellent communication skills—comfortable presenting to boards, executives, payers, and provider groups, and translating complex data into clear, actionable narratives., • Strong analytical and critical thinking skills, with the ability to use data to prioritize, problem-solve, and drive decision-making., • Deep knowledge of CMS Quality Ratings, Star Ratings, NCQA measures and methodologies. ., • Experience designing and delivering provider education programs tied to quality and documentation performance., • Competitive base salary in the range of 120,000–150,000, commensurate with experience and impact., • Comprehensive health benefits, including medical, vision, and dental coverage., • Company-paid life insurance., • 401(k) retirement plan with a 6% corporate match., • Generous Paid Time Off and 13 paid holidays.

A leading health insurance company is seeking an Assistant Vice President (AVP) of Risk Adjustment to lead strategic, operational, and financial efforts in improving Risk Adjustment programs across Medicare Advantage and ACA Marketplace.

Job DescriptionImmigration Attorney (New York City) Location: New York, NY (Hybrid or On-Site) Employment Type: Full-Time Practice Area: Immigration Law About the Role We are seeking an experienced and detail-oriented Immigration Attorney to join our New York City practice. This role involves managing a diverse caseload of employment-based and/or family-based immigration matters, advising clients on U.S. immigration strategy, and representing individuals and businesses before U.S. immigration agencies. The ideal candidate is client-focused, organized, and confident navigating complex immigration regulations while delivering practical, timely solutions. Key Responsibilities * Manage end-to-end immigration cases, including strategy, drafting, filing, and follow-up * Prepare and review immigration petitions and applications such as: * H-1B, L-1, O-1, TN, E-3 * PERM labor certifications * I-140, I-485, adjustment of status * Family-based petitions and consular processing (if applicable) * Advise corporate and individual clients on immigration options, compliance, and risk * Communicate directly with clients, government agencies, and internal stakeholders * Respond to RFEs, NOIDs, and other agency correspondence * Stay current on immigration laws, policies, and regulatory changes * Maintain accurate case records and meet strict filing deadlines Qualifications * Juris Doctor (JD) from an accredited law school * Active license and good standing with a U.S. state bar (NY preferred) * 2+ years of immigration law experience (employment-based preferred; family-based a plus) * Strong knowledge of U.S. immigration laws and procedures * Excellent legal writing, analytical, and communication skills * Ability to manage multiple cases in a fast-paced environment * High level of professionalism and client service orientation Preferred Qualifications * Experience with high-volume corporate immigration * Familiarity with case management systems (e.g., Docketwise, INSZoom, LawLogix) * Prior experience working with startups, tech companies, or multinational clients * Bilingual abilities (a plus, not required) Compensation & Benefits * Competitive base salary ($130,000-$250,000) Depending on experience * Performance-based bonuses * Health, dental, and vision insurance * Paid time off and holidays * Professional development and CLE support

Job DescriptionHinge is the dating app designed to be deleted In today's digital world, finding genuine relationships is tougher than ever. At Hinge, we’re on a mission to inspire intimate connection to create a less lonely world. We’re obsessed with understanding our users’ behaviors to help them find love, and our success is defined by one simple metric– setting up great dates. With millions of users across the globe, we’ve become the most trusted way to find a relationship, for all. About the Role: Join Hinge's Trust & Safety Group as a Lead Product Designer to drive impactful work across Hinge’s most strategic product areas. We're seeking a highly experienced design leader who thrives on navigating complex, nuanced, and ambiguous problem spaces. This role is for someone with a passion for creating elegant, user-centered experiences that empower people to make meaningful connections with confidence, helping to create a less lonely world. You’ll lead design for multi-quarter initiatives, mentor peers, prototype bold ideas and work closely with partners in Product, Engineering and User Research. Define the future of what it means to date safely, owning the design strategy for user-facing safety—from designing solutions for our most vulnerable daters to crafting systems to facilitate user-to-user trust. As the design lead for the group, you will guide peers and help Hinge set the standard for safe, human-centered dating experiences.Responsibilities • Design Leadership and Execution: Lead end-to-end design for safety and trusted connection on Hinge, turning ambiguous problem spaces and strategic direction into thoughtful user flows, prototypes, and high-quality UI., • Craft and Systems Thinking: Maintain a high bar for visual, interaction, and motion design while evolving design systems and visual language to deliver cohesive, scalable, and high-quality safety experiences., • Mentorship and Influence: Mentor designers and lead critiques to elevate design quality, model strong collaboration and problem solving, and foster a culture of curiosity, experimentation, and emotional intelligence., • Strategic Collaboration and Impact: Partner with Product, Engineering, Research, Data Science, Operations, and Policy to define vision, align stakeholders, present to leadership, and deliver outcomes tied to user needs and organizational strategy., • Innovation and Forward Thinking: Drive experimentation through advanced prototyping and emerging technologies, championing design-led innovation for emotionally complex spaces like dating, connection, and trust.What We’re Looking For, • 8+ years in product design, including 3+ years leading design for mobile consumer products., • Experience designing for Trust & Safety, integrity, privacy, identity, or risk-related problem spaces strongly preferred., • Proven track record of driving end-to-end design across complex, multi-surface experiences in fast-paced environments., • A portfolio that demonstrates exceptional product thinking, craft excellence, and the ability to translate user insights into elegant, impactful solutions., • Expertise in Figma, prototyping, and design systems; ability to work fluently across iOS and Android., • Experience leading design through ambiguity and influencing strategy through storytelling and systems thinking., • Strength in research collaboration, synthesis, and hypothesis-driven iteration., • Skilled in workshop facilitation, stakeholder management, and executive communication., • Deep understanding of accessibility, inclusivity, ethical design principles, and safety-by-design methodologies. Bonus Experience, • Experience designing for Trust & Safety, community health, marketplace integrity, identity, or privacy., • Familiarity with experimentation, behavioral frameworks, or machine learning signals used to detect or prevent harmful interactions. #Hinge .

A leading health care company is seeking a Risk Adjustment Campaign Associate to oversee multiple projects related to Medicare Advantage and commercial risk adjustment campaigns.

Job Description Purpose of Position: Amalgamated Bank Electronic Banking Department is looking for a dynamic ACH Operations Administrator to perform all functions as it relates to the Bank’s ACH operations. Keep abreast of product upgrades, identify risk and exposure, develop control procedures, and serve as liaison between the Electronic Banking department, vendors, and other pertinent Bank departments. Essential Job Functions: • Process ACH Pension/Payroll files utilizing various approved secure transmission programs while maintaining all levels of security for both the Bank and clients., • Review and proves ACH file transaction while maintaining full compliance with NACHA operating rules, • Review and research ACH unposted/unprocessed item and take appropriate actions to correct /return items as necessary, • Enforces all Bank ACH security and operating procedures, reporting all violations to ACH Operations Officer., • Research and resolve customer discrepancies and adjustment requests. Modify incoming and outgoing files as per client’s request for deletions and reversals while maintaining all contractual and security procedures., • Contact and notify management using appropriate electronic means regarding unprocessed and rejected items to ensure proper update and maintenance of all payroll/pension participant records., • Assist with ACH reporting requirements., • Receive, research and process customer’s requests to stop automatic debits, blocking accounts using applicable systems., • Research and process all ACH reversal/reclamation requests, complying with regulatory deadlines. Affect offsetting entries, create tracking logs etc. to avoid duplications and streamline processing., • Prepare communication/reporting for originations/exceptions and reclamations items for affected parties to notify of status and resolution., • Communicate with customers and branches to resolve problems., • Follow up on outstanding issues or documents to ensure timely completion and resolution of all processes., • Control and maintain all activity records, enforce departmental controls, and audit and security policies., • Research and respond to customer’s inquiries regarding Electronic Funds Transfer (EFT) timely., • Prepare reconciliations and ACH settlements for origination activity, exceptions handling etc., • Maintain, backup and archive files for all processed items., • Maintain pre-authorized EFT files and prepare tickets, letters, and memos, as required., • Cross-train and backup as needed in all existing and future EBD functions (Wires/ CashMgmt/ATM)., • Perform various related clerical duties as directed by management. Knowledge, Skills and Experience Requirements: • High School diploma or equivalent., • Good verbal, written and interpersonal communication skills., • Knowledge of ACH rules and procedures., • Through knowledge of MS Word, Excel and Access. Excellent data entry skills., • Good mathematics and investigation skills. Our job titles may span more than one career level. The starting base salary for this role is between $48,000.00 – $56,000.00. The actual base pay is dependent upon many factors, such as: training, transferrable skills, work experience, business needs and market demands. The base pay range is subject to change and may be modified in the future. Amalgamated Bank is an Equal Opportunity and Affirmative Action Employer, Minorities / Females / Individuals with Disability / Veterans. AmeriCorps, Peace Corps and other national service alumni are encouraged to apply. View our Pay Transparency Statement. Submission of a resume or any information regarding your qualifications does not constitute a promise or offer of employment. At Amalgamated Bank, we consider an applicant to be someone who has interviewed at least once, in person, with the hiring manager. Amalgamated Bank does not sponsor applicants for work visas. Hybrid Work Model Effective February 18, 2025, employees in office-based positions will be working a Hybrid work schedule consisting of three days or more, on-site per week, Monday - Thursday, although the specific days may vary by site or organization, with Friday designated as a remote-working day, unless business critical tasks require an on-site presence. This Hybrid work model does not apply to, and daily in-person attendance is required for, the contact center, branch service roles, and general services where the work to be performed is located at a Company site; positions covered by a collective-bargaining agreement (unless the agreement provides for hybrid work); or any other position for which the Company has determined the job requirements cannot be reasonably met working remotely. Please note, this Hybrid work model guidance does not apply to roles that have been designated as “remote”. Search Firm Representatives- Please Read Carefully Amalgamated Bank does not accept unsolicited assistance from search firms for employment opportunities. All CVs / resumes submitted by search firms to any employee at our company without a valid written search agreement in place for the position will be deemed the sole property of our company. No fee will be paid in the event a candidate is hired by our company as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails.

Data Analyst/Risk Adjustment - US Remote Remote - United States Full-time regular b The Risk Adjustment Sr Data Analyst is an experienced analyst possessing a deep understanding of the Risk Adjustment business domain and is skilled at data modeling and analysis and identifying and communicating insi

Job Description Company Overview: Founded as an orphanage in 1831, Rising Ground has been at the forefront of evolving community needs. Driven by the belief that each of us can thrive when life has hope and opportunity, Rising Ground provides caring support and proven paths to positive change, helping children, adults, and families rise above adversity, and each year, Rising Ground is a positive force in the lives of more than 25,000 individuals. We do this through 50 programs in 70 locations throughout New York City and Westchester. Our strong belief and commitment to diversity shows not just through our work with supported persons but is integral to the building of a strong staff that reflects the communities we serve. Rising Ground is headquartered in downtown Brooklyn. Job Summary: The Case Planner provides comprehensive case management services for all youth who reside in their respective Site i.e. Non-Secure Placement or Limited-Secure Placement facility and their families. The Case Planner should be committed to a service philosophy and objectives that is youth-centered and outcome focused. The position is demanding and highly interactive with the youth and their families, staff and community. Case Planners must be comfortable working with youth and families in the context of the facility, the office and in the community of origin. The Case Planner will maintain a caseload of 15 youth both in the facility and in the community on aftercare. The role of the Case Planner is to streamline services and service plan goals, guide the discharge readiness planning beginning once youth are placed, and follow through with the youth/family in the application of the service plan in the community. Case management responsibilities include all necessary tasks to complete case file reviews, case planning, family engagement, and group service delivery. Case Planner is responsible for developing and maintaining meaningful contact with youth, their families, and service providers for medical, mental health, social, educational, and other related service needs. Additionally, Case Planner will work with interdisciplinary team to lead discharge planning and ensure coordination of service delivery throughout the youth’s commitment in the program. The aim in programming is to create a nurturing, supportive environment which redirects the youth to make positive life changes. This will be achieved by promoting interventions and rehabilitative approaches that are evidence based/informed and therapeutic. The goal is to reconnect youth with family and community while enhancing public safety. Job Responsibilities: · Responsible for development of a comprehensive service plan for each youth and the youth’s family or other adult resource. The service plan will be completed in collaboration with the team members, PPS workers and with the youth and his/her adult resources in the Family Team Conference. · Work with the case planning team (Education Specialist, and Support staff), the youth, the family and PPS and any other service provider to develop a discharge plan as part of the service plan. · Schedule family visits within 24 hours of admission to the agency and ensure all parties are aware of any scheduled visits. · Collaborate with the Program Directors to Supervise family visits/phone calls including interaction between youth and family as needed. · Engage the family members throughout the assessment process and complete FASPs, SPRs, Plan Amendments, court reports and other case related assessments as scheduled. · Responsible for meeting required ACS completion dates for accurate progress notes, FASPs, visits, court reports and any other documentation required. · Document all progress notes in Connections within 5 calendar days. · Implements creative strategies for involving family members in the service planning process. · Monthly home visits to engage and assess the family in collaboration with ACS. In addition, complete initial and discharge home assessments. · Works collaboratively with interdisciplinary team and other program/division/support staff. Maintain efficacious working relationships with staff involved in the service planning and provision process: Youth Specialists, Mental Health Therapist, Educational Personnel, Court and Legal Representatives, Medical Personnel, etc. · Attend court hearings and prepare reports as required to be submitted before and at the hearing. · Primarily responsible for the development, documentation, and maintenance of all case records within your caseload. · Provide necessary referrals for families in need of housing, health, mental health, preventive services or other community-based services. · Support the principles of all Evidence Based Models with the objective of teaching youth to make positive, lasting changes in their behavior. · Lobby and advocate energetically for the appropriate educational placement for each youth. · Network with other agencies to stay informed about services. · Work closely with Quality Improvement to ensure CQI (continuous quality improvement) of services rendered. · Attends all court hearings as a liaison and makes recommendations in court. · Maintains knowledge of the juvenile justice system and issues affecting youth. · Supports, and participates in, the group interaction process. · Has flexibility to work some weekend and evening hours based on the needs of youth and families. · Understands the YLS (Youth Level of Service) Risk, Needs & Responsivity framework and can identify criminogenic need and responsivity factors. · Participate in all required meetings including but not limited to treatment team meetings, staff team meetings, administrative team meetings, family team conferences, supervisions, recreational and family engagement activities (i.e. Community Team Conferences, Family Night, Release Ceremonies, etc). · Collaborate biweekly with the Placement & Permanency Specialist (PPS) about the youth’s adjustment and progress in program and while on aftercare, including any high risk/safety concerns. · Participate in all agency, ACS/CTH and program training and supervision. · Model reliable, supportive and positive relationships to help youth navigate challenges and achieve their goals. · Model professionalism and respectful behavior in both the community and in facility. · Advocate for youth and families with external stakeholders · Collaborate with Credible Messenger, Therapist and or Fair Futures team to continue to provide case management services to youth on aftercare. · Other duties as assigned Qualifications · Bachelor’s degree in social work or related field required. · Strong knowledge of ACS mandates · Prior experience working NSD or NSP population, a plus. · 2+ years’ experience in Case Management for Child Welfare. · Advanced knowledge of Connections (CNNX) required · Bi-Lingual Spanish Required · Strong writing skills, including competency with progress note completion · Familiar with family court procedures. · Must be able to pass the Safe Crisis Management (SCM) training. Supervisory Responsibility No Work Environment: The Case Planner will be based out of an NSP or LSP facility and be solely responsible for youth in families from that facility. In addition to community field work hours for home passes and home visits. Position Type/Expected Hours of Work: This is a full-time 35 hour per week position. Daily schedule and hours will fluctuate to meet the needs of the program. The Case Planner will be responsible for maintaining their own schedule appropriate to the needs of the program and youth served, which include day, evening and occasional weekend hours. This a on call as needed position Travel (if required): NSP and LSP youth/families reside in NYC and surrounding areas. The Case Planner will be required to travel, navigate NYC/surrounding neighborhood roads/public transportation system and complete casework contacts in families’ homes, facilities, court, schools, and other service providers. The Case Planner is also required to drive, transport youth with other staff members and escort family members. Physical Requirements: Must be able to pass SCM training. Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. EQUAL EMPLOYMENT OPPORTUNITY STATEMENT It is the policy of Rising Ground that the Agency wholly complies with equal treatment of all employees and applicants for employment without unlawful discrimination as to an individual’s perceived or actual race, creed, color, national origin, alienate, citizenship status, gender, age, disability, marital status, partnership status, sexual orientation, ethnicity, religion, or veteran status in all employment decisions, including but not limited to recruitment, hiring, compensation, training and apprenticeship, promotion, upgrading, demotion, downgrading, transfer, layoff and termination and all other terms and conditions of employment.

Job Description Hi, we're Oscar. We're hiring a Manager, Strategic Value & Investment Analysis to join our UM Strategy 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: You will be heavily embedded in the financial oversight of the UM Strategy team. You are responsible for quantifying and communicating the financial impact of all UM initiatives. Your core goal is to ensure that strategic investments translate into measurable, defensible affordability outcomes. You will be the primary liaison between the UM business unit and the Medical Economics/Finance departments to ensure all investments are accurately sized and tracked. You will report into the Director, UM Authorization Strategy. Work Location: This position is based in our New York City 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: $117,576 - $154,318 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. Responsibilities: • Build complex financial modeling and lead the design and development of sound financial models to size the impact of UM and affordability strategies. Ensure alignment with corporate savings pipelines., • Represent the UM department within the broader organization's financial workstreams, ensuring UM initiatives are prioritized and recognized in the corporate savings pipeline., • Establish and maintain strong relationships with the Medical Economics and Data Science teams to develop vetted methodologies for tracking ROI., • Own the "Source of Truth" for the department's value tracking. You will monitor the performance of active initiatives and provide monthly "True-Up" reports comparing projected savings to actualized results. Develop methods to measure actual performance against expected benefits., • Build and maintain strong relationships with Medical Economics, Data Science, and Clinical leadership. Translate complex data into "executive-ready" narratives to influence enterprise-wide decision-making., • Create data-driven frameworks to help leadership navigate ambiguity and make informed decisions on new strategic investments based on risk adjustment and Medical Loss Ratio (MLR) impact., • Compliance with all applicable laws and regulations, • 4+ years of experience of experience in management consulting, financial strategic analysis, or healthcare corporate strategy., • 3+ years of experience in delivering projects / programs, • Strong understanding of the ACA (Individual/Small Group) business model, including how UM impacts Risk Adjustment and Medical Loss Ratio (MLR)., • 3+ years of expertise in financial modeling, business case development, and cost-benefit analysis., • Experience with Medical Economics or Actuarial Science, • Advanced proficiency in SQL and Excel is required. Experience with data visualization tools (Looker), • Experience using data and metrics to drive improvements in programs, • Experience / background in a fast-paced operations environment, • Successfully executed enterprise-wide initiatives: defined project plans, coordinated resources, managed implementation activities, and developed all processes associated with program rollout and ongoing support, • Master's Degree 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 () 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.

Job Description Overview Since inception in 2004, BI Incorporated has operated ISAP for the Department of Homeland Security (DHS) and U.S. Immigration and Customs Enforcement (ICE) and Enforcement and Removal Operations (ERO). ISAP is an essential part of ERO, providing intensive supervision of individuals in immigration proceedings. The program achieves positive results by combining comprehensive case management with proven supervision technology. In addition, BI maintains an extensive list of community-based partners to provide critical assistance for participants' basic life needs. With consistent positive outcomes, ISAP continues to grow and evolve, serving an ever-increasing number of participants. Responsibilities Summary Provides case management of Intensive Supervision Appearance Program (ISAP) participants from entry to release by administering the program’s policies and procedures as defined by the Department of Homeland Security (DHS) contract. Primary Duties and Responsibilities • Develops, implements, coordinates, reviews and updates case management and individual service plans for ISAP participants in conformance with state and federal regulations and program requirements. Meets with participants face-to-face regularly as required by contractual obligations., • Develops and maintains accurate and complete case records for all ISAP participants from entry to release from ISAP. Proactively manages cases using all appropriate tools and techniques. Maintains confidentiality of all records., • Conducts intake interview and orientation session with each ISAP participant within contractual timeframes and requirements., • Installs electronic monitoring equipment on ISAP participants as necessary and monitors compliance with electronic monitoring program., • Assists ISAP participants with acquiring travel documents from the countries of citizenship. Maintains a log of travel document information for each participant., • Evaluates English proficiency of ISAP participants to determine resources necessary to promote clear communication between ISAP staff and participants., • Coordinates and facilitates translation services for ISAP participants, including emergency translation services., • Connects participants with community resources including, but not limited to, transportation, medical, food, shelter, clothing, educational, financial, legal, religious and other social adjustment or facilitative resources. Identifies and coordinates services as required., • Supervises ISAP participants while in Company offices., • Establishes schedules for ISAP participants that include, but are not limited to, counseling sessions, immigration Court appearances, and access to legal services., • Coordinates with participants to ensure attendance at legal orientation and cultural orientation sessions, as well as supplemental services evaluations., • Reviews individual service plans, conducts risk/needs assessments and writes progress reports on a regular basis in compliance with contractual obligations., • Reports on program violations in a timely manner using established reporting parameters., • Conducts home visits to verify participants’ places of residence in compliance with contractual obligations., • Performs emergency counseling for ISAP participants as needed., • Identifies and maintains relationships with translation resources in the community, including private services, volunteers, universities, English as a Second Language (ESL) schools, NGOs, churches, and other organizations that might have resources to offer., • Performs other duties as assigned. Qualifications Minimum Requirements • Bachelor’s Degree required. Degree in Sociology, Psychology, Social Work, Criminal Justice or related field preferred., • At least two (2) years of customer service or case management experience required; experience in fields related to law, social work, detention, corrections or working with multi-cultural clients preferred., • Bilingual English/Spanish required., • Valid driver’s license required and the ability to safely operate a motor vehicle in order to perform home visits., • Ability to pass a federal background check and obtain a suitability determination., • United States citizenship required., • Must live in the US 3 of the last 5 years (military and study abroad included)., • Effective verbal and written communication skills with employees, community contacts, government officials and participants. Ability to interpret and articulate rules, orders, instructions and materials. Ability to compose reports., • Demonstrated sound judgment and even temperament. Ability to maintain self-control in stressful situations, such as interpersonal confrontations or emergencies. Ability to defuse hostile or unstable situations., • Ability to deal tactfully with the public., • Attention to detail., • Problem solving ability., • Ability to deal with multicultural contacts with sensitivity., • Basic knowledge of immigration laws, regulations and procedures., • Basic computer skills., • Ability to interpret electronic monitoring messages and daily summary reports., • Good typing skills to develop and maintain case records by performing data entry., • Typical office environment., • Some local travel is required., • Use of standard office equipment such as copier, computer, keyboard, telephone and fax machine., • Bending, stooping and use of hands and fingers to place electronic monitoring equipment on participants., • Ability to use hands and fingers to install electronic monitoring equipment and to perform data entry., • Ability to stand, walk, sit, climb or balance, enter and exit a car, and climb stairs multiple times in one day in order to make home visits.

Job Description We are looking for a dynamic and compassionate Case Planner to join our team. In this role you will work towards timely permanency planning for children and youth in foster care. Reports to: Foster Care Supervisor Location: 7 West Burnside Avenue, Bronx, New York 10453 Hours: 35 Hours / Week; Non-Exempt - Position requires in office hours and field visits. Hybrid schedules are based on program needs and leadership discretion. Salary Range: 50k-55K based on relevant experience and education. Major Duties: • Assess and monitor for safety and risk., • Establish immediate contact with families of the children who are placed into our care, and with their foster families., • Conduct required casework contacts with the child, parent, foster parent and collateral contacts (schools, service providers, medical personnel, mental health practitioners, and substance abuse counselors). Make assessment-based referrals as necessary to meet the needs of the child and/or parent., • Visit family and child, as often as mandated and/or necessary to gather social history, to assess family strengths and concerns, and to assess existing problems in relation to the reason for placement., • Coordinate and supervise all visits between the family and child along with separate sibling visits., • Share responsibilities with agency team for the permanency planning of each child., • Locate resources and make referrals to any resource that would provide aid to the family and child., • Evaluate child’s adjustment in foster home and monitor educational and behavioral performance at home and in school., • Monitor foster parents in terms of their ability to meet the needs of the child in their home, and make recommendations regarding future use of the home, in conjunction with the Home finding Department., • Adherence to the KEEP (Keeping Foster and Kinship Parents Supported and Trained), PTC (Parenting Through Change) and YDSC (Youth Development Skills Coaching) manuals., • Make efficient and creative use of training manuals., • Capacity to work within the fidelity guidelines of the KEEP/PTC interventions while delivering the material in the manner that appeals to the needs of individual parents and youth., • Support and counsel foster parents in their efforts to care for the child and include them in the development of the goals and tasks., • Keep case records up to date within agency standards and complete all necessary ACS/Agency documentation including FASPs, Progress notes, Permanency Hearing reports and all other reports necessary to fulfill the function of the work., • Make all court appearances and testimony including permanency hearings., • Participate in Family Team Conferences, including but not limited to the placement preservation, reunification/discharge, goal changes and permanency planning conferences. Attend all necessary meetings, functions, workshop, etc. as required by the agency., • Keep case records up to date within agency standards and complete all necessary ACS/Agency documentation including FASPs, Progress notes, Permanency Hearing reports and all other reports necessary to fulfill the function of the work., • Progress notes are to be completed and submitted preferably within one day of the event but no later than the end of the given week of the event., • FASP and Permanency Hearing Report will be submitted on the internal date for review provided by the agency's compliance department., • Collaborate closely with team members., • Conduct Group facilitation of Keep and PTC groups with parents and foster parents., • Ability to enhance communication among parent group members to promote skill development and social networking., • Review KEEP/PTC feedback and practice strategies with families., • Collaborate closely with Youth Skill Trainers, monitor their interactions with youth., • Documents according to developer’s standards, each interaction and visit., • Effectively use and practice the Sanctuary Model tools: safety plans, community meetings, psycho-educational groups, team meetings, red flag reviews, treatment planning conferences (or similar), and self-care, when applicable, in the department/program to create a non-violent and trauma-sensitive culture., • Promote and model the seven Sanctuary Model commitments to create a non-violent and trauma-sensitive culture., • Integrate the Sanctuary Model SELF (Safety, Emotional Management, Loss and Future) framework into daily practice to ensure quality care and an effective work environment, • Utilize Solution Based Casework in casework practice., • Implement Solution Based Casework model of casework practice within the department/program., • Implement and integrate the principles and procedures of Solution Based Casework: assessment, family and individual level outcomes, action plans and documentation and celebration., • Actively participate in case consultation, continued SBC training and the SBC certification process., • Bachelor’s Degree in related field required;, • MSW or at least one year related experience preferred., • Must be able to establish working relationships with clients in need of counseling and supportive services., • Must be able to effectively engage parents., • Ability to apply theory of change., • Willingness to facilitate groups with parents and foster parents., • Ability to work cooperatively with their agency supervisor(s), KEEP, PTC, and YDSC consultants, ACS and other team members., • Excellent written and verbal skills necessary., • Bilingual English/Spanish preferred., • Some evenings may be required, • Must have a commitment to work from a strength based and/or youth development perspective.

Job Description We are looking for a dynamic and compassionate Case Planner to join our team. In this role you will work towards timely permanency planning for children and youth in foster care. Reports to: Foster Care Supervisor Location: 7 West Burnside Avenue, Bronx, New York 10453 Hours: 35 Hours / Week; Non-Exempt - Position requires in office hours and field visits. Hybrid schedules are based on program needs and leadership discretion. Salary Range: 50k-55K based on relevant experience and education. Major Duties: • Assess and monitor for safety and risk., • Establish immediate contact with families of the children who are placed into our care, and with their foster families., • Conduct required casework contacts with the child, parent, foster parent and collateral contacts (schools, service providers, medical personnel, mental health practitioners, and substance abuse counselors). Make assessment-based referrals as necessary to meet the needs of the child and/or parent., • Visit family and child, as often as mandated and/or necessary to gather social history, to assess family strengths and concerns, and to assess existing problems in relation to the reason for placement., • Coordinate and supervise all visits between the family and child along with separate sibling visits., • Share responsibilities with agency team for the permanency planning of each child., • Locate resources and make referrals to any resource that would provide aid to the family and child., • Evaluate child’s adjustment in foster home and monitor educational and behavioral performance at home and in school., • Monitor foster parents in terms of their ability to meet the needs of the child in their home, and make recommendations regarding future use of the home, in conjunction with the Home finding Department., • Adherence to the KEEP (Keeping Foster and Kinship Parents Supported and Trained), PTC (Parenting Through Change) and YDSC (Youth Development Skills Coaching) manuals., • Make efficient and creative use of training manuals., • Capacity to work within the fidelity guidelines of the KEEP/PTC interventions while delivering the material in the manner that appeals to the needs of individual parents and youth., • Support and counsel foster parents in their efforts to care for the child and include them in the development of the goals and tasks., • Keep case records up to date within agency standards and complete all necessary ACS/Agency documentation including FASPs, Progress notes, Permanency Hearing reports and all other reports necessary to fulfill the function of the work., • Make all court appearances and testimony including permanency hearings., • Participate in Family Team Conferences, including but not limited to the placement preservation, reunification/discharge, goal changes and permanency planning conferences. Attend all necessary meetings, functions, workshop, etc. as required by the agency., • Keep case records up to date within agency standards and complete all necessary ACS/Agency documentation including FASPs, Progress notes, Permanency Hearing reports and all other reports necessary to fulfill the function of the work., • Progress notes are to be completed and submitted preferably within one day of the event but no later than the end of the given week of the event., • FASP and Permanency Hearing Report will be submitted on the internal date for review provided by the agency's compliance department., • Collaborate closely with team members., • Conduct Group facilitation of Keep and PTC groups with parents and foster parents., • Ability to enhance communication among parent group members to promote skill development and social networking., • Review KEEP/PTC feedback and practice strategies with families., • Collaborate closely with Youth Skill Trainers, monitor their interactions with youth., • Documents according to developer’s standards, each interaction and visit., • Effectively use and practice the Sanctuary Model tools: safety plans, community meetings, psycho-educational groups, team meetings, red flag reviews, treatment planning conferences (or similar), and self-care, when applicable, in the department/program to create a non-violent and trauma-sensitive culture., • Promote and model the seven Sanctuary Model commitments to create a non-violent and trauma-sensitive culture., • Integrate the Sanctuary Model SELF (Safety, Emotional Management, Loss and Future) framework into daily practice to ensure quality care and an effective work environment, • Utilize Solution Based Casework in casework practice., • Implement Solution Based Casework model of casework practice within the department/program., • Implement and integrate the principles and procedures of Solution Based Casework: assessment, family and individual level outcomes, action plans and documentation and celebration., • Actively participate in case consultation, continued SBC training and the SBC certification process., • Bachelor’s Degree in related field required;, • MSW or at least one year related experience preferred., • Must be able to establish working relationships with clients in need of counseling and supportive services., • Must be able to effectively engage parents., • Ability to apply theory of change., • Willingness to facilitate groups with parents and foster parents., • Ability to work cooperatively with their agency supervisor(s), KEEP, PTC, and YDSC consultants, ACS and other team members., • Excellent written and verbal skills necessary., • Bilingual English/Spanish preferred., • Some evenings may be required Good Shepherd Services is committed to providing an inclusive and welcoming environment for all members of our staff, participants, volunteers, subcontractors, and vendors. We do not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of our activities or operations. These activities include, but are not limited to, hiring and termination of staff, selection of volunteers and vendors, and provision of services. We are committed to providing a workplace that is accessible and accommodating to employees with disabilities. As part of our commitment to providing a barrier-free recruitment and selection process, we will provide reasonable accommodations upon request for candidates with disabilities. If you require any accommodations to participate in the hiring process, please inform us of your needs in advance. We value diversity and inclusivity in our workplace and encourage applicants of all abilities to apply.

Job Description Who We Are: CAMBA is a community of staff, volunteers, clients, donors, neighbors and partners who work together to build an inclusive New York City, where all children and adults have access to the resources and supports, they need to thrive. We take a comprehensive approach by offering more than 180 integrated programs in: Education & Youth Development, Family Support, Job Training & Employment Support Services, Health, Housing, and Legal Services. We reach almost 80,000 individuals and families, including almost 13,000 youth. CAMBA serves a diverse cross section of New Yorkers from new mothers in Brownsville to job seekers in the Rockaways. More than half of our clients are immigrants and refugees from around the globe. Over 85% of our families are living in poverty, reflecting the challenges faced by nearly 1.7 million New Yorkers today. CAMBA operates 6 single adult shelters and 6 family shelters and one drop in center. Each shelter offers clients a supportive, structured therapeutic, safe, and drug-free facility. Homeless (often mentally-ill and substance-abusing) men and women are provided with comprehensive services to stabilize their condition in order to successfully transition into to permanent and/or supported housing. CAMBA’s Flagstone Family Center provides comprehensive case management services to 160 families who are in a Tier II transitional residence program for homeless families. The facility consists of eight (8) four (4) story walk up apartment buildings on the east and west sides of the street. There will be two main entrances: one for the east side of the street and one for the west. Each building contains 20 apartments of varying sizes, each fully self-contained. Position: Client Care Coordinator Reports To: Client Care Supervisor Location: 199 Amboy Street, Brooklyn, NY 11212 What The Client Care Coordinator Does: The person filling this position is expected, under general supervision, to: (1) provide individual and/or group counseling services to assist clients and their families to achieve healthy relationships, emotional stability, personal development and/or adjustment; and, (2) counsel clients regarding issues such as: abusive behavior, family dynamics, healthy personal choices, substance abuse, mental and physical health/trauma related issues; including the following: The person filling this position is expected, under general supervision, to: (1) provide individual and/or group counseling services to assist clients and their families to achieve healthy relationships, emotional stability, personal development and/or adjustment; and, (2) counsel clients regarding issues such as: abusive behavior, family dynamics, healthy personal choices, substance abuse, mental and physical health/trauma related issues; including the following: • Maintain professional relationships with clients and client confidentiality., • Practice Universal Precautions/Standard Protocol & Procedures., • Comply with any and all Federal, State, City and CAMBA security and privacy polices intended to protect the security and privacy of individually identifiable health information., • Assist clients in completing all CAMBA intake applications, screenings and forms., • Create and maintain client files and make file copies., • Conduct initial risk assessment of clients and clients' families., • Prepare initial biopsychosocial evaluation within 30 days of client entry and update according to regulations., • Provide a range of "instant response" services when a client's immediate well-being and safety is threatened., • In collaboration with clients and case managers, assist in the preparation of initial Independent Living Plan (ILP), including short-term and long-term client goals., • Assist clients in attaining their goals by identifying community resources and by referring clients to appropriate services both within and outside CAMBA (i.e., medical services and psychiatric services, etc.)., • Follow-up with clients and with referral organizations regarding client contact and progress with referral organization., • Consult with others both inside and outside of CAMBA to determine causes of client problems and effect solutions., • Act as advocate on behalf of clients and client families' to arrange for medical, psychiatric, educational and other tests and examinations that may disclose causes of client difficulties and indicate remedial measures., • Attempt to alter clients' and their families' attitudes and behaviors that cause or aggravate problems., • Facilitate or participate in case conferences with all stakeholders in clients life to ensure collaborative approach to services., • Provide all required information for weekly/monthly/quarterly/annual reports., • Lead group counseling sessions and psychoeducation to enhance social development and psychological education of individual clients and provide peer support., • Monitor clients' progress toward their goals via regularly scheduled face-to-face contacts/sessions., • LMSW or MSW, • Sensitivity and awareness of working with homeless and vulnerable populations is a plus., • Complete pre-employment requirements such the State Central Registry (SCR) clearance, The Register of Substantiated Category One Cases of Abuse or Neglect aka Staff Exclusion List (SEL) clearance and Criminal history information checks via fingerprinting with New York State Division of Criminal Justice Services prior to start of employment., • TB test required., • Ability to maintain clearances throughout the duration of employment., • Required to become First Aid/CPR certified., • Required to become certified in overdose prevention., • Licensed Master Social Worker required within one year of date of hire. This license must be maintained throughout the course of employment in this role and any other CAMBA positions for which it is required. Compensation: $67,000 - $72,000 annually When salary ranges are listed, the range would represent the low and high end for the applicable position & program. The salary offered would be based on various factors unique to each program and candidate. This includes but is not limited to experience, education, budget and/or program size, internal equity, skills and other factors that may be required for the position and organization. Status: Full-time (35 hours per week) Benefits: CAMBA offers a comprehensive benefits package including health insurance, dental insurance, 403(b) retirement plan with employer match, paid time off (vacation, personal, and sick time), and paid holidays. CAMBA is an Equal Opportunity Employer. We value a diverse workforce and inclusive workplace. People of color, people with disabilities, and lesbian, gay, bisexual, and transgender people are encouraged to apply. We consider all applicants without regard to race, color, religion, creed, gender, gender identity, gender expression, national origin, age, disability, socio-economic status, marital or veteran status, pregnancy status or sexual orientation. Powered by JazzHR Xfe2de1tKh

Job Description Overview Since inception in 2004, BI Incorporated has operated ISAP for the Department of Homeland Security (DHS) and U.S. Immigration and Customs Enforcement (ICE) and Enforcement and Removal Operations (ERO). ISAP is an essential part of ERO, providing intensive supervision of individuals in immigration proceedings. The program achieves positive results by combining comprehensive case management with proven supervision technology. In addition, BI maintains an extensive list of community-based partners to provide critical assistance for participants' basic life needs. With consistent positive outcomes, ISAP continues to grow and evolve, serving an ever-increasing number of participants. Responsibilities Summary Provides case management of Intensive Supervision Appearance Program (ISAP) participants from entry to release by administering the program’s policies and procedures as defined by the Department of Homeland Security (DHS) contract. Primary Duties and Responsibilities • Develops, implements, coordinates, reviews and updates case management and individual service plans for ISAP participants in conformance with state and federal regulations and program requirements. Meets with participants face-to-face regularly as required by contractual obligations., • Develops and maintains accurate and complete case records for all ISAP participants from entry to release from ISAP. Proactively manages cases using all appropriate tools and techniques. Maintains confidentiality of all records., • Conducts intake interview and orientation session with each ISAP participant within contractual timeframes and requirements., • Installs electronic monitoring equipment on ISAP participants as necessary and monitors compliance with electronic monitoring program., • Assists ISAP participants with acquiring travel documents from the countries of citizenship. Maintains a log of travel document information for each participant., • Evaluates English proficiency of ISAP participants to determine resources necessary to promote clear communication between ISAP staff and participants., • Coordinates and facilitates translation services for ISAP participants, including emergency translation services., • Connects participants with community resources including, but not limited to, transportation, medical, food, shelter, clothing, educational, financial, legal, religious and other social adjustment or facilitative resources. Identifies and coordinates services as required., • Supervises ISAP participants while in Company offices., • Establishes schedules for ISAP participants that include, but are not limited to, counseling sessions, immigration Court appearances, and access to legal services., • Coordinates with participants to ensure attendance at legal orientation and cultural orientation sessions, as well as supplemental services evaluations., • Reviews individual service plans, conducts risk/needs assessments and writes progress reports on a regular basis in compliance with contractual obligations., • Reports on program violations in a timely manner using established reporting parameters., • Conducts home visits to verify participants’ places of residence in compliance with contractual obligations., • Performs emergency counseling for ISAP participants as needed., • Identifies and maintains relationships with translation resources in the community, including private services, volunteers, universities, English as a Second Language (ESL) schools, NGOs, churches, and other organizations that might have resources to offer., • Performs other duties as assigned. Qualifications Minimum Requirements • Bachelor’s Degree required. Degree in Sociology, Psychology, Social Work, Criminal Justice or related field preferred., • At least two (2) years of customer service or case management experience required; experience in fields related to law, social work, detention, corrections or working with multi-cultural clients preferred., • Bilingual English/Spanish required., • Valid driver’s license required and the ability to safely operate a motor vehicle in order to perform home visits., • Ability to pass a federal background check and obtain a suitability determination., • United States citizenship required., • Must live in the U.S. 3 of the last 5 years (military and study abroad included)., • Effective verbal and written communication skills with employees, community contacts, government officials and participants. Ability to interpret and articulate rules, orders, instructions and materials. Ability to compose reports., • Demonstrated sound judgment and even temperament. Ability to maintain self-control in stressful situations, such as interpersonal confrontations or emergencies. Ability to defuse hostile or unstable situations., • Ability to deal tactfully with the public., • Attention to detail., • Problem solving ability., • Ability to deal with multicultural contacts with sensitivity., • Basic knowledge of immigration laws, regulations and procedures., • Basic computer skills., • Ability to interpret electronic monitoring messages and daily summary reports., • Good typing skills to develop and maintain case records by performing data entry., • Typical office environment., • Some local travel is required., • Use of standard office equipment such as copier, computer, keyboard, telephone and fax machine., • Bending, stooping and use of hands and fingers to place electronic monitoring equipment on participants., • Ability to use hands and fingers to install electronic monitoring equipment and to perform data entry., • Ability to stand, walk, sit, climb or balance, enter and exit a car, and climb stairs multiple times in one day in order to make home visits.

Job Description Hi, we're Oscar. We're hiring a Senior Actuarial Analyst to join our Actuarial 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 Senior Analyst, Actuarial will play a key role in Oscar's valuation function, focusing specifically on risk adjustment across all Affordable Care Act (ACA) markets. This role will own the maintenance and review of actuarial models used to develop risk adjustment accrual estimates, forecasting estimates, and various other analyses. This is a very dynamic space, which makes this a great opportunity to work on interesting projects and have a BIG impact. You will report into the Director, Actuarial. Work Location: This position is based in our New York City 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: $101,844 - $133,670.25 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: • Model Management: Maintain and enhance core risk adjustment reporting and forecasting models, ensuring consistency and standardization across all team users., • Infrastructure & Design: Serve as a key contributor in improving modeling infrastructure; develop recommendations for model design decisions, best practices, and automation/documentation standards., • Financial Strategy: Develop recommendations for the risk adjustment accrual setting process and provide data-driven insights for the financial planning process., • Trend Analysis: Identify, triage, and investigate core drivers of observed trends across plan designs, providers, vendors, and markets., • Stakeholder Engagement: Maintain strong relationships and clear lines of communication with internal and external stakeholders., • Team Development: Aid in the onboarding of new analysts by collaborating and integrating them into existing processes., • Governance: Compliance with all applicable laws and regulations., • Other duties as assigned. Requirements: • Bachelor's degree in a STEM field., • Associate or Fellow of the Society of Actuaries (SOA), or on the track to become one., • Strong knowledge of core health insurance concepts and experience with actuarial applications. 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 () 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.

Job Description Hi, we're Oscar. We're hiring an Analyst II, Actuarial to join our Actuarial. 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 Analyst II, Actuarial maintains Oscar's forecasting, valuation, and pricing processes for several Affordable Care Act (ACA) markets. You will oversee regularly maintaining and reviewing actuarial models used to develop pricing, forecasting, trend analytics, Incurred but not Reported (IBNR) projections and risk adjustment accruals. You will report into the Manager, Actuarial. Work Location: This position is based in our New York City 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: $72,800 - $95,500 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: • Maintain core pricing and plan design models. Ensure consistency and standardization across team users., • Important contributor in developing and submitting regulatory filings, and developing a viewpoint and recommendation for strategic pricing decisions., • Develop and provide recommendations for the accrual setting process with respect to IBNR claims, Risk adjustment and Shared Savings deals., • Identify and triages meaningful observations of experience across plan designs, providers, vendors, and markets., • Promote and shape Oscar actuarial best practices concerning automation and documentation., • Maintain relationships, rapport, and lines of communication with all partners., • Aid in the onboarding of analysts by collaborating and integrating them into existing processes., • Compliance with all applicable laws and regulations, • Bachelor's degree in a STEM field., • Passed a minimum of two actuarial exams., • Experience with health insurance concepts and nuances., • Highly technical with a strong enthusiasm to apply tech-forward methods in actuarial models. 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 () 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.

Hueman is actively hiring Nurse Practitioners and Physician Assistants to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Bronx, NY. We believe that happiness should be a fundamental part of every role in risk assessment.

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Identify and mitigate project risks and resolve technical or construction issues.

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individual