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Salary: USD 96,130 - 126,171 / annual
Oscar Health is seeking a Manager, Regulatory Reporting to join its Compliance team. Oscar is a health insurance company built on a full-stack technology platform, founded in 2012 with a mission to create member-centric healthcare coverage.
In this role, you will oversee the development, implementation, and management of Oscar's compliance programs to align with healthcare regulatory requirements. You will report to the Director, Regulatory Audit & Reporting and lead a regulatory reporting team, providing guidance, mentorship, and direction to ensure timely execution of regulatory submissions.
Key responsibilities include:
- Ensuring compliance with HIPAA, Medicare, ACA, and Medicaid regulations
- Leading and mentoring the regulatory reporting team
- Coordinating responses to internal and external audit data requests
- Developing dashboards and inventory processes for regulatory reporting accuracy
- Collaborating with business leaders to improve end-to-end reporting processes
- Directing teams to meet submission deadlines
- Reviewing technical documents for accuracy and quality
- Identifying and mitigating compliance risks
- Building relationships with departmental leaders to understand operations and guide internal control design
- Providing regular updates to executive management and the Board of Directors
- Delivering enterprise-wide training and communication on compliance topics
- Delegating tasks effectively to ensure timely compliance actions
- Developing and implementing compliance improvement plans
Required qualifications:
- Bachelor's degree or equivalent work experience
- 5+ years in payer operations
- 3+ years leading direct reports and teams
- 3+ years in healthcare or related field with policies and procedures experience
- 3+ years driving compliance with regulatory and accreditation audit/policy requirements
- 3+ years translating regulations into operational procedures
- 3+ years managing multiple critical external-facing deliverables simultaneously
- 3+ years in fast-paced operations environments
- 3+ years in implementation, program building, and maintenance
Bonus qualifications include Healthcare Compliance (CHC) or Certified Compliance and Ethics Professional (CCEP) certification, State Department of Insurance audit/reporting experience, startup or health tech background, or Third Party Administrator (TPA) experience.
