Head of Risk Adjustment/Coding Operations

About the role

Oasis Health Partners (Oasis) is building healthier communities by advancing primary care. We partner with patients, providers and plans to provide personalized, local care for seniors in towns across America. We believe that patients' needs come first, and that primary care is the foundation of patient centric healthcare. With Oasis, patients receive better access and care. Providers receive the data, resources, and expertise to be successful in value-based care arrangements. Payors get the benefit of a solution that improves performance, drives growth, and reduces the total cost of care in hard-to-engage markets. Together, we will boldly advance primary care for those that need it most. We are excited for you to join us on this journey. We invite you to be a part of Oasis, where you'll discover we listen first, do the right thing, build things together and go all in --- while having fun! Your Role As Head of Risk Adjustment/Coding Operations , you will be accountable for the strategy, design and performance of Oasis's risk adjustment program. This role owns the end-to-end operating model, including program structure, coding operations, compliance, performance management and cross-functional alignment. You will lead a team of coding professionals and work closely with Central Operations, Quality, Data, Clinical and Market leaders to ensure risk adjustment activities are integrated with enterprise priorities and designed for scalability and sustainability. This role plays a central part in shaping how Oasis deploys risk adjustment capabilities across markets and health plans in a way that is scalable, compliant, and aligned with provider partnerships.

Responsibilities

• Lead coding operations, including staffing models, workflows, training, quality assurance, and performance management, with a focus on consistency and scalability
• Establish performance metrics, reporting, and feedback mechanisms that connect risk adjustment activity to outcomes and value, and inform ongoing prioritization
• Partner with Clinical and Market leaders to support effective, right-sized provider education and engagement related to documentation and coding
• Collaborate with Data and Technology teams to leverage analytics, automation, and tools that improve efficiency and decision-making across the risk adjustment lifecycle
• Develop and mentor the risk coding team, fostering accountability and continuous improvement
• Ensure compliance with CMS regulations, coding guidelines, and documentation standards, maintaining strong audit readiness and risk controls
• 2026 Priorities
• Evaluate and implement a best-in-class NLP solution to maximize efficiency in our coding programs
• Develop and maximize our Coding Education Platform to provide a tiered to solution for our provider partners
• Partner with all signed health plans to establish a retrospective review process, inclusive of chart retrieval, chart review and provider education
• Establish ASM Prospective solutions to capture value from our day-to-day coding process and reduce the administrative burden of chart collection at End Of Year
• Implement solutions to align chart collection to enhance our efficiency and remove administrative impact
• Establish clear reporting and governance to monitor impact, guide prioritization, and support ongoing optimization of risk adjustment efforts
• Investment In Our Team
• We invest in the personal and professional success of our team. We take care of our people and offer robust benefits including 401K, medical, dental, vision and generous

Requirements

• You are comfortable operating in environments undergoing change and growth, and you bring the discipline and perspective needed to position Risk Adjustment as a core contributor to Oasis's 2026 performance and long-term value creation.

Benefits

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