Oscar Health-posted 2 months ago
$69,120 - $90,720/Yr
Full-time • Mid Level
Tempe, AZ

The Senior Analyst, Regulatory is a contributor and owner of mission-critical workflows to maintain and operate the Independent Dispute Resolution process. In assigned jurisdictions, the Senior Analyst, Regulatory Affairs will intake disputes from providers, participate in negotiation with team support, and prepare arbitration briefing where needed, all while maintaining detailed documentation for tracking purposes. The Senior Analyst, Regulatory Affairs supports the Regulatory Affairs function in serving as an enterprise wide resource on public policy and IDR trends.

  • Be the subject matter expert on assigned state and federal policy for provider dispute and IDR legislative matters, while applying newly proposed laws and regulations to processes in assigned jurisdictions.
  • Support sustainable processes which simplify our growing team's outputs while ensuring high quality deliverables.
  • Support the wider team and Regulatory Affairs Counsel with preparing concise, user-friendly briefing summaries and analyses based on case needs.
  • Manage projects with notable complexity with department possible effects, developing action plans and managing from start to completion.
  • Provide IDR expertise to designated teams and work with internal legal counsel.
  • Be the primary contact for provider negotiations relating to IDR.
  • Perform related tasks as assigned by Director, Regulatory Operations.
  • Compliance with all applicable laws and regulations.
  • Other duties as assigned.
  • Bachelor's degree in the humanities, legal studies, political science, public policy, public administration, public health or other relevant field or a combination of education and experience.
  • 2+ years of experience with project management experience.
  • 2+ years of experience communicating with and presenting information to all partners.
  • 2+ years of experience distilling complex issues into clear action items, for audiences at varying levels of seniority.
  • 2+ years of experience using Westlaw, legislative tracking software, and Google Workspace.
  • Experience working with Independent Dispute Resolution is a huge plus.
  • Experience working in personal injury law firms or as a paralegal.
  • Familiarity with the Affordable Care Act and the No Surprises Act.
  • Experience with the individual and/or group markets.
  • Experience working with attorneys and team members.
  • 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.
  • Participation in Oscar's unlimited vacation program.
  • Annual performance bonuses.
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