Description

You will ensure Oscar Health complies with industry regulations by reviewing operational practices, creating policies, and performing audits. You'll collaborate with departments, train team members, and assist with external audits to maintain compliance.

Requirements

• Bachelor's Degree or equivalent work experience
• 1+ year experience in health plan compliance
• 2+ years experience with State DOI health insurance rules, CMS ACA rules, and CMS requirements
• 2+ years experience managing high-volume projects

Responsibilities

• Communicate with departments to maintain compliance levels
• Provide regulatory compliance training to team members
• Develop and implement compliance improvement plans
• Prepare for and conduct audits with external authorities
• Assist Regulatory Authorities with site visits and external audits