Regulatory Complaints, Associate

New York City, NY - USA

Yearly Salary: $ 91659 - 120303

Posted on: 2 hours ago

Vacancies: 1 Vacancy

Job Summary

Hi were Oscar. Were hiring a Regulatory Complaints Associate to join our Regulatory 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 ourselvesone that behaves like a doctor in the family.

About the role:

The Regulatory Complaints Associate is a key resource for regulators with responsibility for providing key insight on . This role will partner with internal business departments to resolve member and provider complaints identify issues and trends and provide written resolution to regulators. The Associate will play a key role in the development of relationships with regulators and will serve as a resource to their teammates in the resolution of complaints.

You will report into the Senior Manager Regulatory Operations.

Work Location: This is a remote position open to candidates who reside in: Arizona Florida Georgia Illinois Iowa Kansas Michigan Missouri Nebraska New Jersey New York North Carolina Ohio Pennsylvania South Carolina Tennessee Texas and Virginia. You will be fully remote; however our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area.

Pay Transparency:The base pay for this role in the states of New Jersey and New York is: $101844 - $133670 per year. The base pay for this role for all other locations is: $91659 - $120303 per year. You are also eligible for employee benefits participation in Oscars unlimited vacation program and annual performance bonuses.

Responsibilities:

Research and Resolution of Regulatory Complaints
Supports identification of escalated issues by using Oscar systems and processes
Partners with internal business teams and leadership to share trends related to complaints received while proposing solutions to prevent recurrence
Advise teammates on potential solutions to current regulatory complaints
Develop and maintain successful relationships with state insurance regulators
Compliance with all applicable laws and regulations.

Requirements:

4 years of experience in health insurance customer service claims appeals or Regulatory team
2 years of experience working with regulators

Bonus points:

Experience resolving health insurance claims and appeals
Experience with the individual market health insurance plans
Experience working cross-functionally with internal business partners

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. Were 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.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications without regard to applicants disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known.

California Residents: For information about our collection use and disclosure of applicants personal information as well as applicants rights over their personal information please see our .

Required Experience:

Hi were Oscar. Were hiring a Regulatory Complaints Associate to join our Regulatory 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...