FreshRemote.Work

Manager, Member & Provider Compliance

Remote

Hi, we're Oscar. We're hiring a Manager, Member & Provider Compliance to join our Strategy 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 ourselvesā€”one that behaves like a doctor in the family.

About the role

You will solve complex issues within Oscarā€™s operations, including acute and systemic challenges. You will analyzing problems, coordinating responses, and delivering positive outcomes by engaging with internal and external stakeholders. You will oversee the development, implementation, and continuous improvement of compliance policies and procedures, ensuring adherence to regulatory requirements within Member and Provider Operations.

You will culture of compliance and operational integrity, building relationships with regulatory bodies and preparing the organization for Market Conduct Exams and other reviews. You will collaborate closely with associates, senior leaders, auditors, and regulators, representing the organization and addressing any operational gaps. This position offers the opportunity to drive significant change and contribute to the organizationā€™s overall success, requiring strong regulatory knowledge, leadership, and exceptional communication skills.

You will report to the Director, Strategy.

Work Location:Ā 

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.Ā 

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.Ā Ā 

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, 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: $103,200 - $135,450 per year. The base pay for this role in all other locations is: $92,880 - $121,905 per year. You are also eligible for employee ā€¦

This job isn't fresh anymore!
Search Fresh Jobs

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
  • Collaborate with stakeholders
  • Compliance
  • Compliance with all applicable laws and regulations
  • Continuous Improvement
  • Implementation
  • Lead a Team
  • Manage initiatives
  • Mentor team members
  • Other duties as assigned
  • Process documentation
  • Process Improvement
  • Train and mentor team members
  • Training
Skills

C Communication Compliance Continuous Improvement Data analysis Documentation Engineering Excel Healthcare Healthcare industry Health Insurance Leadership Lean Six Sigma Operations Problem-solving Process Improvement Python Regulatory Regulatory knowledge Regulatory requirements Six Sigma SQL Stakeholder engagement Strategy Technology Technology Platform Training

Education

Business Certification

Certifications

Lean Six Sigma Six Sigma