Associate, Regulatory Operations

Oscar Health•New York, NY

4d•$91,659 - $133,670•Remote

About The Position

The Regulatory Associate is responsible for project managing and supporting discrete tasks to ensure Oscar is compliant with federal and state product filing requirements. You will work with internal Oscar teams and interfaces with our external regulators. You will report into the Senior Manager, Regulatory Operations.

Requirements

Bachelor's degree or 4 years of commensurate experience.
4+ years of healthcare industry experience, ideally in the health plan/managed care space.
2+ years of SERFF, HIOS, and/or MPMS experience
Demonstrated project management skills.

Nice To Haves

3+ years of SERFF, HIOS, and/or network data analysis experience

Responsibilities

Manage required annual QHP filings (form, binder, rate) with state regulators, state exchanges, and CMS, including the development of action plans that ensure regulatory approval
Develop and maintain successful relationships with regulatory agencies, including state insurance regulators (e.g., Alabama Department of Insurance, Florida Office of Insurance Regulation, Michigan's Department of Insurance and Financial Services, North Carolina Department of Insurance, Ohio Department of Insurance, Tennessee Department of Commerce and Insurance), state-based exchanges (e.g., Georgia Access, New Jersey Department of Banking and Insurance, New York State of Health, Pennsylvania Insurance Department and Virginia Bureau of Insurance), and CMS
Be the advisor to your teammates and teams to lead the accurate completion of filing deliverables as a subject matter expert
Develop sustainable processes which simplify outputs while ensuring high quality deliverables, including maintenance of a repository of guidance and resources
Manage other projects in support of filings while achieving deadlines and managing competing priorities
Compliance with all applicable laws and regulations
Other duties as assigned