Regulatory Associate, Member Documents

Hi, we're Oscar. We're hiring a Regulatory Associate, Member Documents (EOC) to join our Regulatory Affairs.

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 Regulatory Associate, Member Documents (EOC) is a key member of the Regulatory Operations team responsible for helping develop, draft and format our core insurance policy documents, including but not limited to the Transparency in Coverage Narratives and Evidences of Coverage across Oscar's Individual Plan portfolio. You will work with both a wide range of internal Oscar teams and independently to meet departmental and company goals. You will report to the Manager of Regulatory Operations.

You will report into the Manager, Regulatory Operations.

Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule.

Pay Transparency: The base pay for this role is: $91,659 - $120,303 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

• Draft our core insurance policy documents, such as the Evidence of Coverage and Outline of Coverage, for high-risk states


• Manage objections from regulators for assigned states. Maintain ownership of workflows, tools, and requirements to ensure operational success.


• Guide development of process improvements and contribute to the development of internal team procedural guides


• Partner with the team and cross functional business partners to implement initiatives to improve our business and member facing outputs, while protecting and improving the integrity of the Legal team deliverables.


• Contribute to the development and maintenance of systems for legal team response to regulator input


• Serve as a SME for the regulatory operations ecosystem and current strengths, weaknesses, and gaps within pertinent region(s).


• Project manage and implement the internal tracking and monitoring of Regulatory Operations team deliverables related to our Legislative processes.


• Compliance with all applicable laws and regulations


• Other duties as assigned

Requirements:

• Bachelor's degree in a legal, healthcare-related or humanities field, or 4 years commensurate experience.


• 4+ years of experience in business operations, consulting, legal writing, project management or healthcare.


• Demonstrated project management skills.


• Proficiency in MS Word, Excel and Google Sheets.


• Experience designing and improving workflow

Bonus points:

• Familiarity with ACA marketplace plans, rules and regulations