Oscar
Award-winning recruitment consultancy; delivering talent across Tech, Digital, Life-Sciences, Energy & Construction
Associate, Regulatory Affairs
Location
Arizona + 16 moreAll locations: Arizona, Florida, Illinois, Iowa, Kansas, Nebraska, New Jersey, New York, North Carolina, Ohio, Michigan, Missouri, Pennsylvania, South Carolina, Tennessee, Texas, Virginia
Posted
17 days ago
Salary
$87.2K - $114.4K / year
Bachelor Degree3 yrs expEnglish
Job Description
• Be the subject matter expert on assigned state and federal policy for provider dispute and IDR matters, while applying newly proposed laws and regulations to processes in assigned jurisdictions.
• Prepare concise, user-friendly briefing based on case needs.
• Be the team resource through mentoring team members, maintaining workflows, and work cross functionally to implement solutions where needed.
• Partner with PRO Counsel, Regulatory Affairs colleagues, and cross functional business partners to problem solve and stand up new processes.
• Support + optimize sustainable processes which simplify our growing team's outputs while ensuring high quality deliverables.
• Manage projects with notable complexity with business area implications, developing action plans and managing from start to completion.
• Deliver multiple, simultaneous and diverse assignments while adhering to strict deadlines.
• Support cross-training, and knowledge development across Oscar
• Perform eligibility reviews of disputed claims to ensure all cases are routed to the appropriate venue
• Manage the end-to-end administrative lifecycle of each dispute by maintaining real-time updates on project management boards, gathering and redacting member documentation, and uploading supporting evidence to the appropriate portal stages within set regulatory deadlines
• Independently manage workload and related dependencies in compliance with required regulatory timelines
• Compliance with all applicable laws and regulations
• Other duties as assigned
Job Requirements
- Bachelor's degree in the humanities, legal studies, political science, public policy, public administration, public health or other relevant field, or a combination of education and experience.
- 3+ years of legal or regulatory experience, ideally in the health plan/managed care space.
- 2+ years experience working with state and federal political and legislative processes.
- 2+ years experience, legislative tracking software, and Google Workspace.
- 2+ years experience with insurance claims, appeals or regulatory complaints.
Benefits
- Employee benefits
- Participation in Oscar's unlimited vacation program
- Annual performance bonuses