Regulatory Associate, Member Documents

Oscar Health

🔍 Observed

$102K - $134K USD

New York, New York, United States First seen 3 weeks ago Last seen 4 hours, 23 minutes ago Greenhouse

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Job Description

AI Summary

• Develop and draft core insurance policy documents including Evidence of Coverage and Outline of Coverage for Oscar's Individual Plan portfolio while managing regulatory objections from state regulators. • Requires Bachelor's degree in legal, healthcare, or humanities field plus 4+ years of experience in operations, consulting, legal writing, project management, or healthcare with demonstrated project management skills. • Manage workflows and tools, lead process improvements, and serve as subject matter expert for regulatory operations across assigned regions while partnering with cross-functional teams. • Hybrid role based in NYC requiring 3 days/week in-office (Thursdays mandatory) with base salary of $101,844-$133,670, unlimited vacation, and annual performance bonuses. • Bonus consideration given to candidates with familiarity with ACA marketplace plans and regulations.

Hi, we're Oscar. We're hiring a Regulatory Associate, Member Documents (EOC) to join our Regulatory Affairs.

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 Regulatory Associate, Member Documents (EOC) is a key member of the Regulatory Operations team responsible for helping develop, draft and format our core insurance policy documents, including but not limited to the Transparency in Coverage Narratives and Evidences of Coverage across Oscar's Individual Plan portfolio. You will work with both a wide range of internal Oscar teams and independently to meet departmental and company goals. You will report to the Manager of Regulatory Operations.

You will report into the Manager, Regulatory Operations.

Work Location: This position is based in our New York City 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

Pay Transparency: The base pay for this role is: $101,844 - $133,670 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

Draft our core insurance policy documents, such as the Evidence of Coverage and Outline of Coverage, for high-risk states
Manage objections from regulators for assigned states. Maintain ownership of workflows, tools, and requirements to ensure operational success.
Guide development of process improvements and contribute to the development of internal team procedural guides
Partner with the team and cross functional business partners to implement initiatives to improve our business and member facing outputs, while protecting and improving the integrity of the Legal team deliverables.
Contribute to the development and maintenance of systems for legal team response to regulator input
Serve as a SME for the regulatory operations ecosystem and current strengths, weaknesses, and gaps within pertinent region(s).
Project manage and implement the internal tracking and monitoring of Regulatory Operations team deliverables related to our Legislative processes.
Compliance with all applicable laws and regulations
Other duties as assigned

Requirements:

Bachelor's degree in a legal, healthcare-related or humanities field, or 4 years commensurate experience.
4+ years of experience in business operations, consulting, legal writing, project management or healthcare.
Demonstrated project management skills.
Proficiency in MS Word, Excel and Google Sheets.
Experience designing and improving workflow

Bonus points:

Familiarity with ACA marketplace plans, rules and regulations

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy.

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Job Information

Company:
Oscar Health
Location:
New York, New York, United States
Experience Level:
Senior
Source:
Greenhouse
Status:
Active

Activity Score

65 /100

Likely Active (65)

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