Hi, we're Oscar. We're hiring an Associate, Delegate Oversight to join our Compliance team.
Oscar is the first health insurance company built around a full stack technology platform and a 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, Delegate Oversight supports our compliance program and activities. You will help develop all compliance program activities to ensure understanding of healthcare regulatory requirements. You will assess business unit compliance to laws, regulations, standards, and their procedures by conducting audit and monitoring activities.
You will report to the Manager, Regulatory Audit.
Work Location:
Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.
If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.
You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote
Pay Transparency:
The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $98,400 - 129,150 per year. The base pay for this role in all other locations is: $88,560 - 116,235 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities
- Help create a risk-based audit and monitoring plan for the healthcare organization.
- Review healthcare regulations, including HIPAA, Medicare, and Medicaid regulations to ensure compliance.
- Conduct assigned audits based on departmental audit plans.
- Partner with teams to understand their business operations and test their compliance with regulations.
- Evaluate compliance effectiveness and identify areas for improvement.
- Draft and complete accurate audit reports, ensuring that the audit findings and conclusions are communicated to the business unit.
- Help identify compliance gaps and risks, and contribute to the development of proactive strategies to address them.
- Help maintain compliance policies, procedures, and controls with regulatory requirements.
- Provide regular updates to leadership on compliance audit and monitoring activities and recommendations.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Qualifications
- Bachelor’s Degree or equivalent work experience
- 3+ years experience working in health care or related field
- 3+ years experience in health plan compliance
- 3+ years driving compliance with regulatory and accreditation audit/policy requirements
- 3+ years experience working with regulation and translating into operational procedures
- 3+ years experience / background in a fast-paced environment
Bonus Points
- Certification in Healthcare Compliance (CHC), Certified Compliance and Ethics Professional CCEP, 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
