Director, Corporate and Regulatory Compliance

Oscar Health•Tempe, AZ

14h•Hybrid

About The Position

The Director, Corporate and Regulatory Compliance is responsible for designing, implementing, training, investigating, monitoring, and enforcing, when necessary, programs, policies, and practices to ensure all applicable operational functions are in compliance with and maintains compliance with federal, state and local regulatory requirements. You will lead all compliance efforts for Oscar's licensed entities delivering Qualified Health Plans (QHPs) in the individual and small group markets. Work with the larger team servicing +Oscar advising on how best to service its third-party QHP clients. You will use as a foundation for an outstanding compliance program the seven elements of an effective compliance program as published by the Office of the Inspector General (OIG). You will serve as Oscar's privacy officer and leads the privacy team and the implementation and maintenance of the privacy program. You will report into the Chief Compliance Officer. Work Location: This position is based in our Tempe, AZ 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. #LI-Hybrid

Requirements

10+ years' experience in a healthcare compliance setting, including managerial experience
10+ years' experience with HIPAA Privacy
5+ Experience applying state and federal health insurance statutes, regulations, marketplace, and MA requirements to meet reporting and audit obligations
5+ Experience preparing and delivering reports to boards of directors

Nice To Haves

Operational or internal audit experience
Enterprise risk management experience
HIPAA Security experience
Experience in a start-up and/or health tech environment
Experience preparing and delivering reports destined for a public company board

Responsibilities

Lead a Compliance team in performing (and ultimately evaluating and redesigning where appropriate, and setting a goal and vision for) all Compliance functions – including monitoring, internal and external audits, and reporting across Oscar's lines of business.
Deploy these functions replicably and consistently to support Oscar's technology as it services new and existing clients and strategic partners.
Provide advisory, investigatory, and remedial support services – partnering with the Legal Department where appropriate – to Oscar's functional teams.
In collaboration with the Legal and Government Affairs functions, manage Oscar's relationship with various regulatory entities in order to facilitate tech-driven innovation, remediate identified noncompliance, and meet or exceed Compliance Program Effectiveness requirements.
Coordinate Oscar's response to all reporting and regulatory audit obligations, driving year-over-year improvement across all content-generating teams.
Work with others in the Compliance Department, and with the other parts of Oscar's Risk and Controls function, to manage regulatory risk sustainably but with a relentless focus on growth and innovation.
Structure and implement compliance analytics processes, enabling Oscar's corporate boards to fulfill their commercial-side compliance and delegate oversight responsibilities.
Drive productive, longer-term changes that lead Oscar's compliance activities to meet or exceed industry standards for insurers, tech innovators, and public companies.
Develop and drive strategy to meet or exceed industry standards for insurers, tech innovators and public companies
Lead the Corporate Compliance and Privacy teams including performance management and career development.
Compliance with all applicable laws and regulations
Other duties as assigned