Note: The job is a remote job and is open to candidates in USA. Oscar Health is a health insurance company focused on serving members through a technology platform. They are seeking an Associate, Regulatory Operations to manage compliance with federal and state product filing requirements and collaborate with internal teams and external regulators.
Responsibilities
- 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
Skills
- 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
- 3+ years of SERFF, HIOS, and/or network data analysis experience
Benefits
- Employee benefits
- Participation in Oscar's unlimited vacation program
- Annual performance bonuses
- Medical, dental, and vision benefits
- 11 paid holidays
- Paid sick time
- Paid parental leave
- 401(k) plan participation
- Life and disability insurance
- Paid wellness time and reimbursements
Company Overview