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Regulatory Manager

AT Oscar Health
Oscar Health

Regulatory Manager

New York, NY / Remote

Hi, we're Oscar. We're hiring a Regulatory Manager to join our Legal 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

The Manager, Regulatory Affairs is a major contributor and owner of mission critical workflows to project manage, amalgamate, and communicate proposed year over year business changes to Oscar’s suite of Evidences of Coverage. The Manager Regulatory Affairs is responsible for working with business units to develop operational language, as well as with Legal to ensure compliance with portfolio-wide state laws.  Supports Regulatory Affairs Counsel in creating new language to align documentation with newly implemented laws and supports the enterprise by spearheading standardization and plain language efforts to improve overall documentation quality.

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You will report to the Associate Director, Regulatory Operations.

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, 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: $108,000 - $141,750 per year. The base pay for this role in all other locations is: $97,200 - $127,575 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities

  • Independently leads Oscar’s standardization process, inclusive of tool making, language development and proposals, rewrites, and drafting guides
  • Participate in comprehensive legal reviews to document the rationale behind state specific differences and ensure submitted materials follow state and federal law
  • Prepare clear, concise, user friendly tooling for our filing teams to utilize and accurately draft documentation from, that is both legally compliant and representative of business priorities 
  • Present to and lead internal audiences in discussion on strategic updates related to our Evidences of Coverage.
  • Partner with PRO Counsel and cross functional business partners to ensure that year-over-year operational changes are accurately and compliantly represented in our legal documents
  • Develop, implement and  manage sustainable processes which simplify our growing team’s outputs while ensuring high quality deliverables.
  • Manage related tasks as assigned by the Associate Director, Regulatory Operations
  • Review documentation for cCompliance with all applicable laws and regulations, and develop language where necessary.
  • Assist in the preparation of EOC filing materials as needed. 

Qualifications

  • A Bachelor’s degree in the humanities, legal studies, health care administration, political science, public administration, public health, or other relevant field, or a combination of education and experience.
  • 5+ years of legal or regulatory experience, ideally in the health plan/managed care space.
  • 2+ year experience with Westlaw, legislative tracking software, and Google Workspace.

Bonus Points

  • Familiarity with the Affordable Care Act and Healthcare.gov or other State Based Exchanges.
  • Experience with Oscar markets.
  • Experience working with attorneys and internal stakeholders.

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.

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.

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 Notice to Job Applicants.

Client-provided location(s): New York, NY, USA
Job ID: 6365054
Employment Type: Other

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

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