Associate, Delegate Oversight at Oscar Health In Atlanta

Associate, Delegate Oversight
Oscar Health // health insurance

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 & 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 Associate, Compliance Audit & Monitoring supports the enterprise's compliance program & 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, & their procedures by conducting audit & monitoring activities.

You will report into the Sr. Manager, Compliance Audit & 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 & annual performance bonuses.

Responsibilities:

Help create a risk-based audit & monitoring plan for the healthcare organization.
Review healthcare regulations, including HIPAA, Medicare, & Medicaid regulations to ensure compliance.
Conduct assigned audits based on departmental audit plans.
Communicate with teams to understand their business operations & test their compliance with regulations.
Evaluate compliance effectiveness & identify areas for improvement.
Draft & complete accurate audit reports, ensuring that the audit findings & conclusions are communicated clearly to the business unit.
Help identify compliance gaps & risks, & contribute to the development of proactive strategies to address them.
Help maintain compliance policies, procedures, & controls in alignment with regulatory requirements.
Provide regular updates to leadership on compliance audit & monitoring activities, findings, & recommendations.
Compliance with all applicable laws & 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 & accreditation audit/policy requirements
2+ years experience working with regulation & translating into operational procedures
2+ years experience / background in a fast-paced environment

Bonus points:

Certification in Healthcare Compliance (CHC), Certified Compliance & 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 & find both belonging & support. We're on a mission to change health care -- an experience made whole by our unique backgrounds & perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, & experience. Full-time employees are eligible for benefits including: medical, dental, & vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life & disability insurance, & paid wellness time & reimbursements.

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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 (accommodations@hioscar.com) to make the need for an accommodation known.

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