Description

You will ensure Oscar complies with industry regulations by developing and enforcing policies, conducting audits, and training team members. You'll collaborate with departments, prepare for external audits, and manage compliance improvement plans.

Requirements

• Bachelor's Degree or equivalent work experience
• 1+ year experience in health plan compliance
• 2+ years experience with State DOI health insurance rules and regulations, CMS ACA rules and requirements, CMS requirements
• 2+ years experience managing high-volume projects and meeting deadlines
• CHC, CCEC, or similar certification (bonus)

Responsibilities

• Communicate with departments to maintain compliance levels
• Provide training on regulatory compliance
• Develop and implement compliance improvement plans
• Conduct audits in required areas
• Assist regulatory authorities with site visits and external audits