Regulatory Reporting Manager – Healthcare Compliance

name; New York (NY); Hybrid; USD 107,000 - 140,000; Full time

Benefits offered by this job

Unlimited vacation

Performance bonuses

Benefits package

Job summary

Oscar is seeking a Manager, Regulatory Reporting to join our Compliance team in New York. You will oversee all regulatory programs, ensure adherence to HIPAA, ACA, Medicare, and Medicaid, and guide the regulatory reporting function.

You will manage a team, coordinate audits, and work with leaders to improve end-to-end reporting. The role includes training and updating senior management and the Board on compliance matters.

Qualifications

• Bachelor's degree or commensurate work experience.
• 5+ years payer experience.
• 3+ years leading direct reports and teams.
• 3+ years in health care or related field with Policies & Procedures.
• 3+ years driving regulatory compliance and accreditation audit/policy requirements.
• 3+ years experience translating regulations into operational procedures.
• 3+ years managing several external facing deliverables simultaneously
• 3+ years experience / background in a fast-paced operations environment.
• 3+ years experience in implementation, program building, and maintenance.

Responsibilities

• Ensure compliance with healthcare regulations (HIPAA, Medicare, ACA, Medicaid).
• Lead the regulatory reporting team, providing guidance, direction, and mentorship to ensure timely submissions.
• Coordinate and respond to data submission requests for internal and external audits.
• Develop dashboards and inventory processing methods to ensure accuracy of regulatory reporting inventory.
• Collaborate with internal business leaders to improve end-to-end reporting process.
• Direct teams to meet submission timelines.
• Review technical documents for accuracy and quality.
• Proactive problem-solving and risk mitigation.
• Develop relationships with departmental leaders to understand business operations, identify risks, and guide internal control design.
• Provide regular updates to executive management and the Board including reports, presentations, and memoranda.
• Provide training, education, and communication to the enterprise regarding compliance topics and best practices.
• Ensure all teams follow compliance procedures.
• Delegate tasks to ensure timely compliance actions.
• Develop and implement compliance improvement plans.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Skills

Payer experience

Team leadership

Regulatory compliance

Healthcare regulations

Communication

Education

Bachelor's degree

Job description

Oscar is seeking a Manager, Regulatory Reporting to join our Compliance team in New York. You will oversee all regulatory programs, ensure adherence to HIPAA, ACA, Medicare, and Medicaid, and guide the regulatory reporting function.

You will manage a team, coordinate audits, and work with leaders to improve end-to-end reporting. The role includes training and updating senior management and the Board on compliance matters.