Associate, Risk/Compliance
About The Position
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 Associate, Risk / Compliance ensures that Oscar complies with industry specifications, standards, regulations, and laws. They review operational practices, create and enforce policies & procedures, and perform regulatory reviews. You will ensure and enforce compliance where required throughout the facility to ensure complete compliance in all areas of the business. You will report into the Manager, Regulatory Audit Compliance.
Requirements
- Bachelor's Degree or equivalent work experience
- 1+ year experience in health plan compliance
- 2+ years experience with State DOI health insurance rules and regulations, CMS ACA rules and requirements, CMS requirements
- 2+ years experience managing high-volume and complicated projects, keeping track of details, and staging work to complete projects on time
Nice To Haves
- CHC, CCEC, or similar
- Fluency with State DOI audit and/or reporting obligations
- State DOI audit management experience
- Experience in a start-up and/or health tech environment
- Experience in a TPA setting
Responsibilities
- Communicate with all relevant departments to make sure current compliance levels.
- Provide training to team members regarding regulatory compliance.
- Ensure that all team members are aware of the procedures to be followed to follow compliance requirements.
- Develop and implement compliance improvement plans where required.
- Delegate tasks to other departments to bring compliance levels up.
- Develop reports to the governing body.
- Assist Regulatory Authorities with completing site visits and external audits.
- Prepare for, and conduct audits alongside external authorities.
- Conduct regular audits in all required areas to make sure compliance levels.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Benefits
- employee benefits
- participation in Oscar's unlimited vacation program
- annual performance bonuses
- medical, dental, and vision benefits
- 11 paid holidays
- paid sick time
- paid parental leave
- 401(k) plan participation
- life and disability insurance
- paid wellness time and reimbursements
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Number of Employees
1,001-5,000 employees
