Senior Analyst, UM Regulatory Operations

New Yorksenior

Legal & ComplianceOtherHealthcareRegulatory

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Quick Summary

Key Responsibilities

Coordinate projects and processes to help support key regulatory and compliance milestones and deliverables Partner with leadership to implement regulations, support key state filings,

Requirements Summary

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,

Technical Tools

Legal & ComplianceOtherHealthcareRegulatory

Hi, we're Oscar. We're hiring a Senior Analyst, UM Regulatory Operations to join our UM Regulatory Operations 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

You will support the design, optimization, and implementation of processes and improvements to operations in support of achieving organizational goals. You will be responsible to support implementations for regulatory requirements, compliance initiatives, UM audits, and other projects, as needed.

You will report into the Senior Manager, UM Regulatory Operations.

Responsibilities

~1 min read

→Coordinate projects and processes to help support key regulatory and compliance milestones and deliverables
→Partner with leadership to implement regulations, support key state filings, and other projects
→Partner with cross-functional teams to ensure action plans and process improvements align with project goals, and participate in collaboration with peers and cross-functional stakeholders
→Support audit exams (NCQA, MHPAEA, State)
→Help identify risks; respond to and resolve compliance gaps through regulatory implementation and in response to audits and Corrective Action Plans
→Compliance with all applicable laws and regulations
→Other duties as assigned

Requirements

~1 min read

1+ years of experience in healthcare audits, or accreditations supporting NCQA and/or regulatory compliance
1+ years of professional experience in utilization management, healthcare operations and/or compliance, or a related field
1+ years of experience in Adobe Acrobat, and Google Suite or Microsoft Office (Sheets/Excel, Docs/Word, Slides/Powerpoint, etc)
1+ years of experience with interdepartmental collaboration with stakeholders to drive projects

Nice to Have

~2 min read

1+ years of experience supporting state audits and exams
ACA marketplace, utilization management, healthcare quality and compliance, or provider data experience
Training or experience applying Continuous Process Improvement or Lean Six Sigma principles
Experience with project coordination or management in a matrixed organization
1+ years of experience in developing and presenting information and recommendations

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.

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