Analyst, Regulatory Affairs

Hi, we're Oscar. We're hiring a Analyst, Regulatory Affairs to join our Regulatory Affairs 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 Analyst, Regulatory Affairs is a contributor and navigator who coordinates Regulatory Affairs work within the Evidence of Coverage team. You will coordinate large-scale, workgroups and contributes to annual QHP filings. You will support the Regulatory Affairs Evidence of Coverage team by serving as a resource on Oscar processes and identify risks to escalate in partnership with their manager.

You will report into the Regulatory Manager.

Work Location: This position is based in our New York City office, requiring an onsite work schedule. #LI-Onsite

Pay Transparency: The base pay for this role is: $31.45 - $41.28 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.

Responsibilities:

• Support annual QHP filings by ensuring the quality and timeliness of annual filing inputs through initial submission and regulator facing negotiation periods
• Resolve low risk state objections
• Project manages and implements the internal tracking and monitoring of Regulatory Affairs team deliverables related to our Legislative processes.
• Coordinate internal working groups by scheduling meetings, intaking requests and ensuring the appropriate people are in the room
• Prepare agendas, track action items, and follow-ups to ensure timely completion.
• Maintain comprehensive documentation of regulatory objections, state-specific requirements, and reasons for deviations from standard policy.
• Escalate issues or delays to leadership
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

Requirements:

• A bachelor's degree in a legal, healthcare-related or humanities field, or 4 years commensurate experience.
• 2+ years of experience in health insurance customer service, claims, appeals, or Regulatory team
• Strong attention to detail with the ability to manage complex documentation.

Bonus points:

• Familiarity with health insurance operations
• Experience with the individual market health insurance plans
• Experience working with attorneys and internal stakeholders.
• Proficiency in MS Office and Google Tools.

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.

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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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