Regulatory Complaints, Associate

Oscar Health • New York City, NY

20h • $91,659 - $133,670 • Remote

About The Position

The Regulatory Complaints, Associate is a key resource for regulators, with responsibility for providing key insight on . This role will partner with internal business departments to resolve member and provider complaints, identify issues and trends, and provide written resolution to regulators. The Associate will play a key role in the development of relationships with regulators, and will serve as a resource to their teammates in the resolution of complaints.

Requirements

• 4+ years of experience in health insurance customer service, claims, appeals, or Regulatory team
• 2+ years of experience working with regulators

Nice To Haves

• Experience resolving health insurance claims and appeals
• Experience with the individual market health insurance plans
• Experience working cross-functionally with internal business partners

Responsibilities

• Research and Resolution of Regulatory Complaints
• Supports identification of escalated issues by using Oscar systems and processes
• Partners with internal business teams and leadership to share trends related to complaints received while proposing solutions to prevent recurrence
• Advise teammates on potential solutions to current regulatory complaints
• Develop and maintain successful relationships with state insurance regulators
• Compliance with all applicable laws and regulations.

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed