About the role
Hi, we're Oscar. We're hiring a Senior Analyst, Regulatory Operations to join our Regulatory team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless 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 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, California, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Missouri, Nebraska, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas and 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
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.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
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 Privacy Policy.
Aplyr's read
Oscar Health is a tech-driven health insurer focused on enhancing member experience with digital tools and personalized services. Ideal for tech-savvy professionals in healthcare.
What's promising
- •Oscar Health leverages advanced technology to streamline healthcare services.
- •The company offers a dynamic work environment with roles in tech and healthcare.
- •Oscar Health is committed to improving healthcare accessibility and affordability.
What to watch
- •The health insurance market is highly competitive, posing challenges for growth.
- •Oscar Health's profitability remains uncertain amid ongoing investments in technology.
- •Regulatory changes in healthcare can impact Oscar Health's business operations.
Why Oscar Health
- •Oscar Health integrates technology with healthcare for a seamless member experience.
- •The company emphasizes personalized services through innovative digital tools.
- •Oscar Health's focus on tech-driven solutions differentiates it from traditional insurers.
Aplyr’s read is generated by AI from public sources. Was it useful?
About Oscar Health
Oscar is a health insurance company that leverages technology to provide affordable and accessible healthcare solutions. They focus on improving the healthcare experience for their members through innovative digital tools and personalized services.
