Regulatory Associate, Member Documents

Hi, we're Oscar. We're hiring a Regulatory Associate, Member Documents (EOC) to join our Regulatory Affairs.

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 Regulatory Associate, Member Documents (EOC) is a key member of the Regulatory Operations team responsible for helping develop, draft and format our core insurance policy documents, including but not limited to the Transparency in Coverage Narratives and Evidences of Coverage across Oscar's Individual Plan portfolio. You will work with both a wide range of internal Oscar teams and independently to meet departmental and company goals. You will report to the Manager of Regulatory Operations.

You will report into the Manager, Regulatory Operations.

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: $91,659 - $120,303 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities

Draft our core insurance policy documents, such as the Evidence of Coverage and Outline of Coverage, for high-risk states

Manage objections from regulators for assigned states. Maintain ownership of workflows, tools, and requirements to ensure operational success.

Guide development of process improvements and contribute to the development of internal team procedural guides

Partner with the team and cross functional business partners to implement initiatives to improve our business and member facing outputs, while protecting and improving the integrity of the Legal team deliverables.

Contribute to the development and maintenance of systems for legal team response to regulator input

Serve as a SME for the regulatory operations ecosystem and current strengths, weaknesses, and gaps within pertinent region(s).

Project manage and implement the internal tracking and monitoring of Regulatory Operations team deliverables related to our Legislative processes.

Compliance with all applicable laws and regulations

Other duties as assigned

Requirements

Bachelor's degree in a legal, healthcare-related or humanities field, or 4 years commensurate experience.

4+ years of experience in business operations, consulting, legal writing, project management or healthcare.

Demonstrated project management skills.

Proficiency in MS Word, Excel and Google Sheets.

Experience Designing And Improving Workflow

Bonus Points

Familiarity with ACA marketplace plans, rules and regulations

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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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