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Senior Regulatory Analyst
Oscar Health
IT, Legal
Remote
Posted on Sep 25, 2024
Hi, we're Oscar. We're hiring a Sr. Regulatory Analyst to join our Legal Operations team.
Oscar is the first health insurance company built around a full stack technology platform and a 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 Sr. Regulatory Analyst is an important member of the Regulatory Operations team responsible for project managing and supporting discrete tasks to ensure Oscar is compliant with federal and state health plan requirements. You will work with internal Oscar teams and interfaces with our external regulators.
You will report to the Sr. Manager Regulatory Operations.
Work Location:
Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.
If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.
You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote
Pay Transparency:
The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $36.92 - 48.46 per hour. The base pay for this role in all other locations is: $33.23 - 43.62 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 10 days per year.
Responsibilities
- Facilitate the review and submission of provider and network contract filings, provide support to annual commercial product and adhoc filings to State and Federal agencies to ensure that all requirements are submitted accurately and within established deadlines
- Prepare and file Oscar’s provider and network contract and insurance products through the annual form & binder filings for assigned states and regions, including the triaging of objections received to impacted teams and driving overall resolution
- Maintain processes for internal tracking and monitoring of provider, network, annual commercial product and adhoc filings with diverse teams, including building a repository of previously received objections to decrease objection totals
- Support successful relationships with regulatory bodies and state-based exchanges for Florida, Georgia, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee and Virginia.
- Contribute to the development of a repository of internal procedural guides on provider contract, network contract and annual commercial product filing obligations to support teams and retain institutional knowledge.
Qualifications
- Bachelor’s degree or 4 years of commensurate experience.
- 2+ years of SERFF and/or HIOS filings experience
- Project management skills.
Bonus Points
- A technical bend and the ability to use tools to answer your own questions (e.g. SQL/Python)
- Experience with startups
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.
Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.
California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Notice to Job Applicants.