Associate, Risk/Compliance

Hi, we're Oscar. We're hiring an Associate, Risk / Compliance to join our Corporate Compliance 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 Associate, Risk / Compliance ensures that Oscar complies with industry specifications, standards, regulations, and laws. They review operational practices, create and enforce policies & procedures, and perform regulatory reviews. You will ensure and enforce compliance where required throughout the facility to ensure complete compliance in all areas of the business.

You will report into the Senior Manager, Corporate Compliance.

Work Location

This is a remote position, open to candidates who reside in: Atlanta, GA. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area.

Pay Transparency

The base pay for this role is: $88,560 - $116,235 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities

Communicate with all relevant departments to make sure current compliance levels.

Provide training to team members regarding regulatory compliance.

Ensure that all team members are aware of the procedures to be followed to follow compliance requirements.

Develop and implement compliance improvement plans where required.

Delegate tasks to other departments to bring compliance levels up.

Develop reports to the governing body.

Assist Regulatory Authorities with completing site visits and external audits.

Prepare for, and conduct audits alongside external authorities.

Conduct regular audits in all required areas to make sure compliance levels.

Compliance with all applicable laws and regulations

Other duties as assigned

Requirements

Bachelor's Degree or equivalent work experience

1+ year experience in health plan compliance

2+ years experience with State DOI health insurance rules and regulations, CMS ACA rules and requirements, CMS requirements

2+ years experience managing high-volume and complicated projects, keeping track of details, and staging work to complete projects on time

Bonus Points

CHC, CCEC, or similar

Fluency with State DOI audit and/or reporting obligations

State DOI audit management experience

Experience In A Start-up And/or Health Tech Environment

Experience In A Tpa Setting

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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.

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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.

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