Remote Associate Director, Claims Compliance

Namely; Atlanta (GA); À distance; USD 134 000 - 176 000; Plein temps

Avantages offerts par ce poste

Unlimited vacation

Medical/dental/vision benefits

401(k) plan

Résumé du poste

Oscar Health's Claims team seeks an Associate Director to lead the Claims Compliance function, guiding investigations, regulatory responses, and process improvements.

You will manage a team of analysts, collaborate with regulators and internal partners, and translate strategic goals into actionable plans to strengthen compliance and performance.

This remote role offers a base pay range and benefits, with opportunities for impact across state and federal regulations.

Qualifications

• 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.

Responsabilités

• 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.
• Creates necessary structure to achieve programmatic and departmental goals.
• Understands and uses business and industry knowledge to inform strategy and execution.
• Supervise and train managers and employees as needed.
• Collaborate and communicate with other departments on claims issues, related projects and inter-departmental operations issues while developing effective, actionable solutions.
• Effectively manage processes and inter departmental initiatives through a collaborative approach to ensure timely results or issue resolution.
• Work cross collaboratively with various regulatory agencies, as well as Oscar's legal, audit, and regulatory compliance teams.
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

Description du poste

Oscar Health's Claims team seeks an Associate Director to lead the Claims Compliance function, guiding investigations, regulatory responses, and process improvements.

You will manage a team of analysts, collaborate with regulators and internal partners, and translate strategic goals into actionable plans to strengthen compliance and performance.

This remote role offers a base pay range and benefits, with opportunities for impact across state and federal regulations.