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Sr. Analyst, Risk / Compliance

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Data

Hi, we're Oscar. We're hiring a  Senior Analyst, Risk / Compliance supports 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 Senior Analyst, Risk / Compliance supports Oscar in ensuring adherence to industry specifications, standards, regulations, and laws. They support in reviewing operational practices, drafting and enforcing procedures,  and perform regulatory reviews.

You will report to the Regulatory Manager.

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: $76,800 - 100,800 per year. The base pay for this role in all other locations is: $69,120 - 90,720 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities

  • With guidance, partner with all relevant departments to make sure current compliance levels.
  • Support compliance training for team members 
  • Ensure that all team members are aware of the procedures to be followed to follow compliance requirements.
  • Delegate tasks to other departments to bring compliance levels up.
  • Support in developing reports, to the governing body.
  • Assist regulatory authorities with completing site visits and external audits.
  • Help conduct audits alongside external authorities.
  • Compliance with all applicable laws and regulations 
  • Other duties as assigned

Qualifications

  • Bachelor's Degree or equivalent work experience
  • 1+ year experience in health plan compliance
  • 1+ years experience with State DOI health insurance rules and regulations, CMS ACA rules and requirements, CMS requirements
  • 2+ years experience managing high-volume and complicated projects, keeping track of details, and staging work to complete projects on time

Bonus Points

  • CHC, CCEC, or similar
  • Fluency with State DOI audit or reporting obligations
  • State DOI audit management experience
  • Experience in a startup and/or health tech environment
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