Senior Analyst, UM Regulatory Operations

Hi, we're Oscar. We're hiring a Senior Analyst, UM Regulatory Operations to join our UM Regulatory Operations 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

You will support the design, optimization, and implementation of processes and improvements to operations in support of achieving organizational goals. You will be responsible to support implementations for regulatory requirements, compliance initiatives, UM audits, and other projects, as needed.

You will report into the Senior Manager, UM 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: $75,348 - $98,894 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.

Responsibilities

Coordinate projects and processes to help support key regulatory and compliance milestones and deliverables

Partner with leadership to implement regulations, support key state filings, and other projects

Partner with cross-functional teams to ensure action plans and process improvements align with project goals, and participate in collaboration with peers and cross-functional stakeholders

Support audit exams (NCQA, MHPAEA, State)

Help identify risks; respond to and resolve compliance gaps through regulatory implementation and in response to audits and Corrective Action Plans

Compliance with all applicable laws and regulations

Other duties as assigned

Requirements

1+ years of professional experience in utilization management, healthcare operations and/or compliance, or a related field

1+ years of experience in Adobe Acrobat, and Google Suite or Microsoft Office (Sheets/Excel, Docs/Word, Slides/Powerpoint, etc)

1+ years of experience in process improvement, healthcare policy implementation

1+ years of experience with interdepartmental collaboration with stakeholders to drive projects

Bonus Points

1+ years of experience supporting state audits and exams

ACA marketplace, utilization management, healthcare quality and compliance, or provider data experience

Training or experience applying Continuous Process Improvement or Lean Six Sigma principles

Experience With Project Coordination Or Management In A Matrixed Organization

1+ years of experience in developing and presenting information and recommendations

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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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