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Oscar Health

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.

Senior Analyst, Regulatory Operations

ComplianceComplianceFull TimeRemoteSeniorTeam 2,200Since 2012Company Site

Location

United States

Posted

44 days ago

Salary

$38 - $50 / hour

Seniority

Senior

SERFFHIOSProject ManagementRegulatory FilingInsurance ComplianceFederal ComplianceState Compliance

Job Description

Role Description

The Sr. Regulatory Analyst is an important member of the Regulatory Operations team responsible for project managing and supporting discrete tasks to ensure Oscar is compliant with federal and state product filing requirements. You will work with internal Oscar teams and interfaces with our external regulators.

You will report into the Senior Manager, Regulatory Operations.

Work Location: This is a remote position, open to candidates who reside in:

  • Arizona
  • Florida
  • Georgia
  • Illinois
  • Iowa
  • Kansas
  • Michigan
  • Missouri
  • Nebraska
  • New Jersey
  • New York
  • North Carolina
  • Ohio
  • Pennsylvania
  • South Carolina
  • Tennessee
  • Texas
  • Virginia

You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area.

Pay Transparency: The base pay for this role in the states of New Jersey and New York is: $38.22 - $50.16 per hour. The base pay for this role for all other locations is: $34.39 - $45.14 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.

Responsibilities

  • Manage the preparation and filing of Oscar's commercial insurance products through the annual Form & Binder Filings for assigned states and regions, serving as an advisor to teams.
  • Develop processes for internal tracking and monitoring annual and ad hoc filings with diverse teams, including maintaining a repository of previously received objections to decrease YOY objection totals.
  • Build and support successful relationships with regulatory bodies, including state insurance regulators (e.g., DMHC in California, Arizona Department of Insurance, Texas Department of Insurance), state-based exchanges (e.g., Covered California), and federal insurance regulators (CMS, CCIIO, etc.).
  • Serve as a subject matter expert on assigned states and contribute to the development of a repository of internal procedural guides on annual filing obligations to support teams and retain institutional knowledge.
  • Track and share filing objections received and guide overall resolution together with impacted teams.
  • Develop sustainable processes which simplify our growing team's outputs while ensuring high quality deliverables.
  • Compliance with all applicable laws and regulations.
  • Other duties as assigned.

Requirements

  • Bachelor's degree or commensurate experience.
  • 1+ years of SERFF and HIOS experience.
  • Demonstrated project management skills.

Bonus Points

  • Familiarity with ACA marketplace plans, rules and regulations.

Benefits

  • Medical, dental, and vision benefits.
  • 11 paid holidays.
  • Paid sick time.
  • Paid parental leave.
  • 401(k) plan participation.
  • Life and disability insurance.
  • Paid wellness time and reimbursements.

Job Requirements

  • Bachelor's degree or commensurate experience.
  • 1+ years of SERFF and HIOS experience.
  • Demonstrated project management skills.
  • Bonus Points
  • Familiarity with ACA marketplace plans, rules and regulations.

Benefits

  • Medical, dental, and vision benefits.
  • 11 paid holidays.
  • Paid sick time.
  • Paid parental leave.
  • 401(k) plan participation.
  • Life and disability insurance.
  • Paid wellness time and reimbursements.

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