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Salary: USD 96,130 - 126,171 / annual
Oscar Health is seeking a Manager, Regulatory Reporting to join the Compliance team in Tempe, Arizona. This role manages Oscar's compliance programs and regulatory activities, overseeing the development, implementation, and management of all compliance programs to align with healthcare regulatory requirements.
Key responsibilities include ensuring compliance with healthcare regulations (HIPAA, Medicare, ACA, Medicaid), leading the regulatory reporting team with guidance and mentorship, coordinating responses to audit data submission requests, developing dashboards for regulatory reporting accuracy, and collaborating with internal business leaders to improve end-to-end reporting processes. You will direct teams to meet submission timelines, review technical documents for accuracy, and provide proactive problem-solving and risk mitigation. The role involves developing relationships with departmental leaders to understand business operations and identify areas of risk, providing regular updates to executive management and the Board of Directors through reports and presentations, and ensuring enterprise-wide awareness and compliance with procedures.
The position requires a Bachelor's degree or commensurate work experience, 5+ years of payer experience, 3+ years leading direct reports and teams, 3+ years in healthcare or related fields with policies and procedures, 3+ years driving compliance with regulatory and accreditation requirements, 3+ years translating regulations into operational procedures, 3+ years managing multiple critical external-facing deliverables, 3+ years in fast-paced operations environments, and 3+ years in implementation, program building, and maintenance.
Bonus qualifications include Healthcare Compliance (CHC) or Certified Compliance and Ethics Professional (CCEP) certification, fluency with State Department of Insurance audit and reporting obligations, State DOI audit management experience, startup or health tech environment experience, and Third Party Administrator (TPA) setting experience.
The position is hybrid, requiring 3 days in-office per week with Thursdays mandatory for team meetings and events. Base pay ranges from $96,130 to $126,171 annually, with eligibility for employee benefits, unlimited vacation, and annual performance bonuses.