Regulatory Compliance Specialist

4 weeks ago


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

Oscar Health is seeking a highly skilled Senior Regulatory Analyst to join our Legal Operations team. As a key member of our Regulatory Operations team, you will be responsible for project managing and supporting discrete tasks to ensure Oscar's compliance with federal and state health plan requirements.

You will work closely with internal teams and interface with external regulators to ensure seamless compliance. Your expertise will be crucial in maintaining our reputation as a leader in healthcare innovation.

Key Responsibilities:

  • Facilitate the review and submission of provider and network contract filings to ensure accuracy and timely compliance.
  • Prepare and file Oscar's provider and network contract and insurance products through annual form & binder filings for assigned states and regions.
  • Maintain processes for internal tracking and monitoring of provider, network, annual commercial product, and ad-hoc filings.
  • Support successful relationships with regulatory bodies and state-based exchanges.
  • Contribute to the development of internal procedural guides on provider contract, network contract, and annual commercial product filing obligations.

Requirements:

  • Bachelor's degree or 4 years of commensurate experience.
  • 2+ years of SERFF and/or HIOS filings experience.
  • Project management skills.

What We Offer:

  • A dynamic and supportive work environment.
  • Opportunities for growth and professional development.
  • A competitive salary and benefits package.

Oscar Health is an Equal Opportunity Employer and welcomes applications from diverse candidates. We are committed to creating an inclusive environment where everyone can thrive.



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