Associate, Delegate Oversight
Hi, we're Oscar. We're hiring an Associate, Delegate Oversight to join our Compliance 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 ourselves—one that behaves like a doctor in the family.
About the role:
The Associate, Compliance Audit and Monitoring supports the enterprise's compliance program and activities. You will assist in the development of all compliance program activities to ensure understanding of healthcare regulatory requirements. You will assess department compliance to laws, regulations, standards, and their procedures by conducting audit and monitoring activities.
You will report into the Sr. Manager, Compliance Audit and Monitoring.
Work Location: This is a remote position, open to candidates who reside in: Atlanta, GA. 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. #LI-Remote
Pay Transparency: The base pay for this role is: $88,560 - $116,235 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:
- Help create a risk-based audit and monitoring plan for the healthcare organization.
- Review healthcare regulations, including HIPAA, Medicare, and Medicaid regulations to ensure compliance.
- Conduct assigned audits based on departmental audit plans.
- Communicate with teams to understand their business operations and test their compliance with regulations.
- Evaluate compliance effectiveness and identify areas for improvement.
- Draft and complete accurate audit reports, ensuring that the audit findings and conclusions are communicated clearly to the business unit.
- Help identify compliance gaps and risks, and contribute to the development of proactive strategies to address them.
- Help maintain compliance policies, procedures, and controls in alignment with regulatory requirements.
- Provide regular updates to leadership on compliance audit and monitoring activities, findings, and recommendations.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements:
- Bachelor's Degree or equivalent work experience
- 2+ years experience working in health care or related field
- 2+ years experience in health plan compliance
- 2+ years driving compliance with regulatory and accreditation audit/policy requirements
- 2+ years experience working with regulation and translating into operational procedures
- 2+ years experience / background in a fast-paced environment
Bonus points:
- Certification in Healthcare Compliance (CHC), Certified Compliance and Ethics Professional CCEP, or similar
- Fluency with State DOI audit and/or reporting obligations
- State DOI audit management experience
- Experience in a start-up and/or health tech environment
- Experience in a TPA setting
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. We're 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.
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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.
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Perks and Benefits
Health and Wellness
- Pet Insurance
- Mental Health Benefits
- FSA
- HSA
- Fitness Subsidies
- Health Insurance
- Dental Insurance
- Vision Insurance
- Life Insurance
- Short-Term Disability
- Long-Term Disability
Parental Benefits
- Adoption Leave
- Fertility Benefits
- Family Support Resources
- Non-Birth Parent or Paternity Leave
- Birth Parent or Maternity Leave
- Return-to-Work Program
Work Flexibility
- Remote Work Opportunities
- Flexible Work Hours
- Hybrid Work Opportunities
Office Life and Perks
- Happy Hours
- Commuter Benefits Program
- Casual Dress
- Snacks
Vacation and Time Off
- Personal/Sick Days
- Paid Holidays
- Paid Vacation
Financial and Retirement
- Company Equity
- Performance Bonus
- Financial Counseling
- 401(K) With Company Matching
Professional Development
- Internship Program
- Leadership Training Program
- Access to Online Courses
- Mentor Program
Diversity and Inclusion
- Employee Resource Groups (ERG)
- Diversity, Equity, and Inclusion Program
Company Videos
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