Director, Corporate and Regulatory Compliance

Hi, we're Oscar. We're hiring a Director, Corporate and Regulatory Compliance to join our Corporate Compliance.

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, Corporate and Regulatory Compliance is responsible for designing, implementing, training, investigating, monitoring, and enforcing, when necessary, programs, policies, and practices to ensure all applicable operational functions are in compliance with and maintains compliance with federal, state and local regulatory requirements. You will lead all compliance efforts for Oscar's licensed entities delivering Qualified Health Plans (QHPs) in the individual and small group markets. Work with the larger team servicing +Oscar advising on how best to service its third-party QHP clients. You will use as a foundation for an outstanding compliance program the seven elements of an effective compliance program as published by the Office of the Inspector General (OIG). You will serve as Oscar's privacy officer and leads the privacy team and the implementation and maintenance of the privacy program.

You will report into the Chief Compliance Officer.

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.

Pay Transparency

The base pay for this role is: $163,944 - $215,176 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants and annual performance bonuses.

Responsibilities

Lead a Compliance team in performing (and ultimately evaluating and redesigning where appropriate, and setting a goal and vision for) all Compliance functions – including monitoring, internal and external audits, and reporting across Oscar's lines of business.

Deploy these functions replicably and consistently to support Oscar's technology as it services new and existing clients and strategic partners.

Provide advisory, investigatory, and remedial support services – partnering with the Legal Department where appropriate – to Oscar's functional teams.

In collaboration with the Legal and Government Affairs functions, manage Oscar's relationship with various regulatory entities in order to facilitate tech-driven innovation, remediate identified noncompliance, and meet or exceed Compliance Program Effectiveness requirements.

Coordinate Oscar's response to all reporting and regulatory audit obligations, driving year-over-year improvement across all content-generating teams.

Work with others in the Compliance Department, and with the other parts of Oscar's Risk and Controls function, to manage regulatory risk sustainably but with a relentless focus on growth and innovation.

Structure and implement compliance analytics processes, enabling Oscar's corporate boards to fulfill their commercial-side compliance and delegate oversight responsibilities.

Drive productive, longer-term changes that lead Oscar's compliance activities to meet or exceed industry standards for insurers, tech innovators, and public companies.

Develop and drive strategy to meet or exceed industry standards for insurers, tech innovators and public companies

Lead the Corporate Compliance and Privacy teams including performance management and career development.

Compliance with all applicable laws and regulations

Other duties as assigned

Requirements

10+ years' experience in a healthcare compliance setting, including managerial experience

10+ years' experience with HIPAA Privacy

5+ Experience applying state and federal health insurance statutes, regulations, marketplace, and MA requirements to meet reporting and audit obligations

5+ Experience preparing and delivering reports to boards of directors

Bonus Points

Operational or internal audit experience

Enterprise risk management experience

HIPAA Security experience

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

Experience Preparing And Delivering Reports Destined For A Public Company Board

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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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