Regulatory Operations, Associate at Oscar Health

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 Regulatory Operations, Associate is responsible for project managing and supporting discrete tasks to ensure Oscar is compliant with federal and state product filing requirements. This position works closely 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 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: $101,844 - $133,670 per year. The base pay for this role for all other locations 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:

Manage the execution of required annual QHP filings (form, binder, rate) with state regulators, state exchanges, and CMS, including the development of action plans that ensure regulatory approval

Develop and maintain successful relationships with regulatory agencies, including state insurance regulators (e.g., Alabama Department of Insurance, Florida Office of Insurance Regulation, Michigan’s Department of Insurance and Financial Services, North Carolina Department of Insurance, Ohio Department of Insurance, Tennessee Department of Commerce and Insurance), state-based exchanges (e.g., Georgia Access, New Jersey Department of Banking and Insurance, New York State of Health, Pennsylvania Insurance Department and Virginia Bureau of Insurance), and CMS

Serve as an advisor to your teammates and cross-functional teams to drive the accurate completion of filing deliverables as a subject matter expert

Develop sustainable processes which simplify outputs while ensuring high quality deliverables, including maintenance of a repository of guidance and resources

Manage other projects, as needed, in support of filings while achieving deadlines and managing competing priorities

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.

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Regulatory Operations, Associate

Job Description