Associate, Regulatory Operations

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Legal & ComplianceRegulatory

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Quick Summary

Key Responsibilities

Manage required annual QHP filings (form, binder, rate) with state regulators, state exchanges, and CMS,

Requirements Summary

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,

Technical Tools

Legal & ComplianceRegulatory

Hi, we're Oscar. We're hiring an Associate, Regulatory Operations to join our Compliance 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

~1 min read

The Regulatory Associate is 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.

Responsibilities

~1 min read

→Manage 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
→Be the advisor to your teammates and teams to lead 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 in support of filings while achieving deadlines and managing competing priorities
→Compliance with all applicable laws and regulations
→Other duties as assigned

Requirements

~1 min read

Bachelor's degree or 4 years of commensurate experience.
4+ years of healthcare industry experience, ideally in the health plan/managed care space.
2+ years of SERFF, HIOS, and/or MPMS experience
Demonstrated project management skills.

Nice to Have

~2 min read

3+ years of SERFF, HIOS, and/or network data analysis experience

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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.

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