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Sr. Manager, Regulatory Operations- Remote

Posted Feb 07
Full Time
Remote

Hi, we're Oscar. We're hiring a Senior Manager join our Regulatory Operations 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 Regulatory Affairs team secures approval of Oscar's plan portfolio through annual filings, helping maintain relations with our regulators and ensuring regulatory readiness across Oscar.

As a Senior Manager you will build processes to monitor compliance, and, in some instances, submit Oscar's annual reporting obligations to regulatory bodies, associations, and exchanges for commercial and Medicare Advantage insurance operations. You will be an important contact point for our regulators, and help secure regulatory approval for Oscar's plan portfolios to be offered on and off health insurance marketplaces. You will work with other Oscar teams including Clinical, Finance, Risk, Legal, Network, Sales, and Marketing to ensure Oscar's full regulatory readiness.

You will report to the Director, Regulatory Operations. This is a remote / work-from-home role. You must reside in one of the following states: Arizona, California, Connecticut, Florida, Georgia, Illinois, Maryland, Massachusetts, Michigan, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, Tennessee, Texas, Utah, Virginia, or Washington. Note, this list of states is subject to change.

Responsibilities

  • You will lead a team in doing the following:-
  • Ensure the accurate submission of Oscar's annual regulatory obligations.
  • Build processes for internal tracking and monitoring reporting across teams.
  • Develop a repository of internal procedural guides on reporting obligations to support teams and retain institutional knowledge.
  • Help maintain relationships with regulatory bodies in the states where Oscar operates.
  • Prepare, file, and secure approval and certification of Oscar's insurance products through the annual QHP filings (form, binder, rate, network) with state regulators, state exchanges, and CMS.
  • Compile and maintain filing deadlines for form, binder, rate, and network annual QHP submissions by state and LOB.
  • Manage, train, provide feedback and assign responsibilities for direct reports to support their professional growth
  • Work independently under remote management, encouraging solid relationships with regulators and colleagues.

Qualifications

  • You have a Bachelor's degree or 4 years of commensurate experience.
  • At least 6+ years of work experience in healthcare insurance or regulatory affairs
  • Experience managing people and developing teams
  • Project management experience. You have experience managing large complicated projects that span across the organization, keeping track of details, and staging work to deliver projects on time
  • Experience in process improvement and workflow design

Bonus Points

  • A technical bend and the ability to use tools to answer your own questions (e.g. SQL/Python)
  • Experience with startups

Life at Oscar: 

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.

We aim to make health care affordable and accessible for all, and apply this same vision to our perks and benefits, including: medical benefits, generous paid-time off, paid parental leave, retirement plans, company social events, stocked kitchens, wellness programs, and volunteer opportunities.

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.

Pay Transparency Policy:

Oscar ensures that you won't be discharged or discriminated against based on whether you've inquired about, discussed, or disclosed your pay. Read the full policy here.

COVID-19 vaccine requirements for in-person work: 

To protect the health and safety of our employees, we require any employee conducting in-person work* to be fully vaccinated against COVID-19 by their start date. If you are unable to be vaccinated due to medical or protected religious reasons, please reach out to our Benefits team at accommodations@hioscar.com to submit an accommodations request.

*Note: In-person work includes: employees required to work from our offices, employees conducting sales work in the field and employees conducting at-home or in-person visits with members.

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