Hi, we're Oscar. We're hiring a Manager, Member & Provider Compliance to join our Strategy team.

Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role

You will solve complex issues within Oscar’s operations, including acute and systemic challenges. You will analyzing problems, coordinating responses, and delivering positive outcomes by engaging with internal and external stakeholders. You will oversee the development, implementation, and continuous improvement of compliance policies and procedures, ensuring adherence to regulatory requirements within Member and Provider Operations.

You will culture of compliance and operational integrity, building relationships with regulatory bodies and preparing the organization for Market Conduct Exams and other reviews. You will collaborate closely with associates, senior leaders, auditors, and regulators, representing the organization and addressing any operational gaps. This position offers the opportunity to drive significant change and contribute to the organization’s overall success, requiring strong regulatory knowledge, leadership, and exceptional communication skills.

You will report to the Director, Strategy.

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $103,200 - $135,450 per year. The base pay for this role in all other locations is: $92,880 - $121,905 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program and annual performance bonuses.

Responsibilities

• Be the subject matter expert for Insurances operations through knowledge and expertise of Oscar’s platform, regulatory requirements and operational workflows
• Manage a complex portfolio of initiatives and deliverables and proactively identify areas of opportunity to improve key performance indicators
• Develop team workflows and guidelines that produce consistent and measurable outcomes; train, teach and mentor team members to become more proficient and effective.
• Oversee and ensure accuracy of problem definition, acute error remediation, and root cause solution development created by team members
• Certify accurate data is utilized to drive business decisions to impact cross-functional strategy
• Collaborate across the organization, including owning stakeholder relationships with internal and external leaders, to identify actions to achieve improvements and monitor initiative impact
• Support Oscar team members through knowledge sharing, process documentation, and tooling development
• May lead a team of associates
• Other duties as assigned
• Compliance with all applicable laws and regulations

Qualifications

• 5+ years of relevant experience in a compliance role within a Healthcare industry working with regulatory and Market Conduct Exams
• 5+ years experience cooperatively developing project plans with internal and external stakeholders
• 5+ years experience designing and improving workflows, including development of accompanying operating and technical procedures and tooling
• Experience with people management
• Strong leadership skills with experience in managing and developing a compliance team.Bonus Points

• Experience managing complicated business challenges: developing understanding, distilling and communicating that understanding to technical and non-technical audiences.
• An academic and professional background in engineering, data, or healthcare
• Knowledge management, training, or content development in operational settings
• Process Improvement or Lean Six Sigma certification
• Structured, systematic, and critical thinking
• Strong verbal and written communications
• Experience with people management
• 5+ years experience using data software (e.g. Excel, VGA, Macros, SQL and/or Python) to manipulate and analyze large data sets to solve business problems