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Director, Commercial Compliance

Oscar Health Tempe, AZ

  • Expired: over a month ago. Applications are no longer accepted.
Job Description

Hi, we're Oscar. We're hiring a Director, Commercial Compliance to join our Compliance team in our New York office. 

Oscar is a technology-driven, consumer-focused health insurance startup founded in 2012 and headquartered in New York City. Our goal is to make health insurance simple, transparent, and human. We need your help to do so.

About the role:

Oscar's Compliance Department manages and mitigates regulatory risk as we serve ever more members and clients across in ever more markets. The Compliance Department also proves to our state and federal regulators and exchanges that we can fulfil our core regulatory obligations while providing members with higher-quality, lower-cost care.

As Oscar's Director of Commercial Compliance, you will lead all compliance efforts for Oscar's licensed entities delivering Qualified Health Plans (QHPs) in the individual and small group markets.  You and your small team will work closely with – and be heavily matrixed into – the larger Compliance team servicing Oscar's tech platform (i.e., Oscar's own TPA) called "+Oscar."  You will also advise +Oscar on how best to service its third-party QHP clients.

You will report to the Vice President of Compliance, who is the Compliance Officer for the Oscar corporate family.

Responsibilities: 

  • Fulfill the obligations – and, if ready, assume the title – of Compliance Officer for the Oscar insurance entities that deliver QHPs in 18 states and counting.
  • To the extent necessary, develop and implement Compliance policies specific to these licensed insurance entities (as distinguished from +Oscar's Compliance policies).
  • Prepare and deliver compliance reports to the Boards of these entities.
  • Advise the leadership of these entities on all issues of regulatory compliance, drawing where applicable on resources from Oscar's Risk, Legal, Tech, Regional P&L, Sales, and Finance teams.
  • Cultivate these entities' day-to-day relationships with regulators and state-based exchanges for purposes of compliance reporting, self-disclosures, enforcement actions, and the interpretation of applicable requirements.
  • Serve as the lead contact for, and prepare Oscar's QHP-delivering entities for, regulatory audits.
  • In fulfilling all of the above obligations, draw heavily on the Compliance resources of +Oscar.
  • Establish the Compliance targets that +Oscar must meet, and monitor its performance against these targets.
  • Advise +Oscar as it services Oscar's own entities as well as an expanding array of strategic partners and QHP clients.
  • Work with others in Oscar's Risk and Controls function to manage regulatory risk sustainably but with a relentless focus on growth and innovation.
  • Structure and refine internal reporting and monitoring processes, enabling the boards of Oscar's licensed entities to fulfill their compliance and delegate oversight responsibilities.
  • Drive productive, longer-term changes that lead Oscar's commercial compliance activities to meet or exceed industry standards for insurers, tech innovators, and public companies.

Requirements:

  • College degree or equivalent experience
  • 9+ years' experience in a healthcare compliance setting, including managerial experience
  • Experience with state and federal health insurance statutes, regulations, and marketplace requirements – and experience applying this knowledge to meet reporting and audit obligations
  • Experience preparing and delivering reports to boards of directors in a for- or not-for-profit setting
  • Experience providing tactical and strategic advice – and identifying the need for, and delivering, education and training – to support compliant product growth
  • Team-building and development experience

Bonus points:

  • CHC, CCEC, or similar
  • Experience with Market Conduct Examination requirements (or state-level equivalents)
  • Operational or internal audit experience
  • Experience in a start-up and/or health tech environment
  • Experience preparing and delivering reports destined for a public company board
  • Experience in a TPA setting

Life at Oscar: 

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.

We encourage our members to care for their whole selves, and we encourage our employees to do the same with comprehensive medical benefits, generous paid-time off, paid parental leave, retirement plans, company social events, stocked kitchens, wellness programs, and volunteer opportunities.

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.

Pay Transparency Policy:

Oscar ensures that you won't be discharged or discriminated against based on whether you've inquired about, discussed, or disclosed your pay. Read the full policy here.

Life at Oscar: 

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.

We aim to make health care affordable and accessible for all, and apply this same vision to our perks and benefits, including: medical benefits, generous paid-time off, paid parental leave, retirement plans, company social events, stocked kitchens, wellness programs, and volunteer opportunities.

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.

Pay Transparency Policy:

Oscar ensures that you won't be discharged or discriminated against based on whether you've inquired about, discussed, or disclosed your pay. Read the full policy here.

COVID-19 vaccine requirements for in-person work: 

To protect the health and safety of our employees, we require any employee conducting in-person work* to be fully vaccinated against COVID-19 by their start date. If you are unable to be vaccinated due to medical or protected religious reasons, please reach out to our Benefits team at accommodations@hioscar.com to submit an accommodations request.

*Note: In-person work includes: employees required to work from our offices, employees conducting sales work in the field and employees conducting at-home or in-person visits with members.

Oscar Health

Address

Tempe, AZ
USA

Industry

Business

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