Claims Compliance Associate Director: Lead Regs & Strategy

Namely; New York (NY); Hybrid; USD 149,000 - 196,000; Full time

Benefits offered by this job

Unlimited vacation

Annual performance bonuses

Employee benefits

Job summary

Oscar Health seeks an Associate Director, Claims Compliance in New York to lead a team focused on regulatory inquiries, state and federal compliance, and cross-functional collaboration. This hybrid NYC role reports to the Claims leadership and drives regulatory operations across departments.

The position calls for extensive claims regulatory experience, strong leadership, and a track record of delivering compliant, data-driven resolutions in a fast-paced environment.

Qualifications

• 7+ years of demonstrated experience in claims operations and regulatory language.
• 5+ years of people management and team leadership experience.
• Proven background collaborating with regulatory agencies and regulatory requirements.
• Experience forming data-driven, concrete answers in a world with imperfect information.

Responsibilities

• Direct and coordinate aspects of Oscar claims processes including research, adjustments, and regulatory inquiries.
• Lead a team of claims analysts specializing in regulatory compliance and external responses.
• Influence departmental strategy by providing quantitative and qualitative inputs for KPI and SLAs.
• Translate the claims strategy into business plans and tactics to meet operational targets.

Skills

Claims operations

Regulatory compliance

People management

Regulatory inquiries

Data-driven decisions

Education

Bachelor's degree

Job description

Oscar Health seeks an Associate Director, Claims Compliance in New York to lead a team focused on regulatory inquiries, state and federal compliance, and cross-functional collaboration. This hybrid NYC role reports to the Claims leadership and drives regulatory operations across departments.

The position calls for extensive claims regulatory experience, strong leadership, and a track record of delivering compliant, data-driven resolutions in a fast-paced environment.