Analyst, Regulatory Complaints

1 week ago

New York, United States Oscar Health Full time
Job DescriptionJob Description

Hi, we're Oscar. We're hiring a Analyst, Regulatory Complaints to join our Government Affairs 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 Analyst, Regulatory Complaints is a contributor and navigator who coordinates Gov/Regulatory Affairs work. The Analyst, Regulatory Complaints tracks and resolves Regulatory complaints. The Analyst, Regulatory Complaints supports the Gov/Regulatory Affairs (i.e. Regulatory Complaints function) by serving as a resource on Oscar processes and systems, and identifies risks and issues.

You will report to the Regulatory Leader

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: $30.38- $35.89 per hour. Base pay for this role in all other locations is: $27.35-$36.89 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 10 days per year.

Responsibilities
  • Support research, tracking, and intake in Gov/Regulatory Affairs (i.e.Regulatory Complaints)
  • Coordinate case assignment
  • Supports identification of escalated issues by using Oscar systems and processes
  • Researches and resolves low risk complaints
  • Compliance with all applicable laws and regulations.
  • Other duties as assigned.
Qualifications
  • 2+ years of experience in health insurance customer service, claims, appeals, or Regulatory team
  • 2+ years experience with JIRA, ROSCO, Appian or similar systems
  • 2+ years of experience using Westlaw, legislative tracking software, and Google Workspace.
Bonus Points
  • Familiarity with health insurance claims and appeals
  • Experience with the individual market health insurance plans
  • Experience working with attorneys and internal stakeholders.
  • Experience working with regulators

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

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.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

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.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Notice to Job Applicants.

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