Claims Compliance Associate Director — Regulatory Leader

Oscar Health, Inc.; New York (NY); Híbrido; USD 149.000 - 196.000; Jornada completa

Descripción de la vacante

Oscar Health, Inc. in New York City seeks a Claims Compliance Associate Director to lead a team of analysts handling regulatory inquiries, market conduct exams and overall claims compliance.

The role is based in NYC with a hybrid work schedule requiring three in-office days per week. You will report to the Senior Director, Claims Quality and Compliance, and drive cross-functional processes while coordinating with regulators and Oscar's legal, audit and compliance teams to strengthen regulatory

Formación

• 7+ years of demonstrated experience in claims operations and processing, insurance products, and regulatory and policy language.
• 5+ years of people management and team leadership experience with ability to prioritize, allocate work and manage across multiple high-value projects at once.
• Proven background collaborating with regulatory agencies and strong familiarity with regulatory requirements.
• Experience forming data-driven, concrete answers in a world with imperfect information.

Responsabilidades

• Direct and coordinate aspects of Oscar claims processes including but not limited to: research, adjustments, and regulatory inquiries.
• Lead a team of claims analysts specializing in regulatory compliance, tasked with investigating regulatory inquiries and developing external responses.
• Translates the claims department's strategy into business plans and tactics in order to meet operational KPIs, targets and SLAs.
• Collaborate and communicate with other departments on claims issues, related projects and inter-departmental operations issues while developing effective, actionable solutions.
• Work cross collaboratively with various regulatory agencies, as well as Oscar's legal, audit, and regulatory compliance teams.

Conocimientos

People management

Regulatory compliance

Leadership

Stakeholder communication

Educación

Bachelor's degree

Descripción del empleo

Oscar Health, Inc. in New York City seeks a Claims Compliance Associate Director to lead a team of analysts handling regulatory inquiries, market conduct exams and overall claims compliance.

The role is based in NYC with a hybrid work schedule requiring three in-office days per week. You will report to the Senior Director, Claims Quality and Compliance, and drive cross-functional processes while coordinating with regulators and Oscar's legal, audit and compliance teams to strengthen regulatory