Senior Risk Compliance Specialist

3 weeks ago


New York, New York, United States Oscar Health Full time
About the Role

Oscar Health is seeking a Senior Risk Compliance Specialist to join our Compliance team. As a key member of our team, you will play a critical role in ensuring adherence to industry specifications, standards, regulations, and laws.

Key Responsibilities:

  • Partner with relevant departments to ensure current compliance levels.
  • Support compliance training for team members.
  • Ensure all team members are aware of procedures to follow for compliance requirements.
  • Delegate tasks to other departments to bring compliance levels up.
  • Support in developing reports for 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.

Requirements:

  • 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.

Oscar Health is an Equal Opportunity Employer and is committed to creating an inclusive environment for all employees. We offer a competitive salary, benefits, and unlimited vacation time.



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