Associate, Regulatory Affairs

Oscar HealthNew York, NY
Remote

About The Position

Oscar is hiring a Regulatory Associate, Member Documents (EOC) to join their Regulatory Affairs team. This role is responsible for developing, drafting, and formatting core insurance policy documents, including Transparency in Coverage Narratives and Evidences of Coverage for Oscar's Individual Plan portfolio. The associate will collaborate with internal Oscar teams and work independently to achieve departmental and company goals. This position reports to the Manager of Regulatory Operations.

Requirements

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

Nice To Haves

  • Familiarity with ACA marketplace plans, rules and regulations.

Responsibilities

  • Draft 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 business and member-facing outputs, while protecting and improving the integrity of 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 Legislative processes.
  • Ensure compliance with all applicable laws and regulations.
  • Perform other duties as assigned.

Benefits

  • medical
  • dental
  • vision benefits
  • 11 paid holidays
  • paid sick time
  • paid parental leave
  • 401(k) plan participation
  • life and disability insurance
  • paid wellness time and reimbursements
  • unlimited vacation program
  • annual performance bonuses
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