Senior Analyst, UM Regulatory Operations

Hi were Oscar. Were hiring a Senior Analyst UM Regulatory Operations to join our UM Regulatory Operations 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:

You will support the design optimization and implementation of processes and improvements to operations in support of achieving organizational goals. You will be responsible to support implementations for regulatory requirements compliance initiatives UM audits and other projects as needed.

You will report into the Senior Manager UM Regulatory Operations.

Work Location: This position is based in our Tempe Arizona office requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events while your other two office days are flexible to suit your schedule. #LI-Hybrid

Pay Transparency: The base pay for this role is: $67813 - $89004 per year. You are also eligible for employee benefits participation in Oscars unlimited vacation program and annual performance bonuses.

Responsibilities:

• Coordinate projects and processes to help support key regulatory and compliance milestones and deliverables
• Partner with leadership to implement regulations support key state filings and other projects
• Partner with cross-functional teams to ensure action plans and process improvements align with project goals and participate in collaboration with peers and cross-functional stakeholders
• Support audit exams (NCQA MHPAEA State)
• Help identify risks; respond to and resolve compliance gaps through regulatory implementation and in response to audits and Corrective Action Plans
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• 1 years of experience in healthcare audits or accreditations supporting NCQA and/or regulatory compliance
• 1 years of professional experience in utilization management healthcare operations and/or compliance or a related field
• 1 years of experience in Adobe Acrobat and Google Suite or Microsoft Office (Sheets/Excel Docs/Word Slides/Powerpoint etc)
• 1 years of experience with interdepartmental collaboration with stakeholders to drive projects

Bonus points:

• 1 years of experience supporting state audits and exams
• ACA marketplace utilization management healthcare quality and compliance or provider data experience
• Training or experience applying Continuous Process Improvement or Lean Six Sigma principles
• Experience with project coordination or management in a matrixed organization
• 1 years of experience in developing and presenting information and recommendations

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 .