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Associate, Delegate Oversight

Remote

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 …
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Job Profile

Restrictions

Arizona California Colorado Connecticut Florida Georgia Illinois In-office requirement for local residents Iowa Kentucky Maine Maryland Massachusetts Michigan Minnesota Missouri Must reside in one of the following states Must reside in specified states Nevada New Hampshire New Jersey New Mexico New York North Carolina Ohio Oregon Pennsylvania Rhode Island South Carolina Tennessee Texas Utah Vermont Virginia Washington

Benefits/Perks

11 paid holidays Annual performance bonuses Disability Insurance Employee benefits Life and Disability insurance Medical, dental, and vision benefits Paid holidays Paid parental leave Paid sick time Paid wellness time Paid wellness time and reimbursements Performance bonuses Unlimited Vacation Unlimited vacation program Vision Benefits

Tasks
  • Compliance
  • Compliance with all applicable laws and regulations
  • Compliance with regulations
  • Conduct audits
  • Ensure compliance
  • Evaluate compliance effectiveness
  • Maintain compliance policies
  • Other duties as assigned
  • Reporting
Skills

Audit C Compliance Controls Healthcare Healthcare Compliance Healthcare Regulations Health Insurance HIPAA Leadership Medicaid Medicare Monitoring Operational Procedures Operations Policy Development Regulatory Regulatory requirements Reporting Report Writing Risk Assessment Technology Technology Platform

Experience

3 years

Education

Bachelor's degree Business Certification Equivalent work experience Related Field

Certifications

CCEP CHC