Remote Regulatory Reporting Lead

Namely; Dallas (TX); On-site; USD 96,000 - 126,000; Full time

Benefits offered by this job

Unlimited vacation

Annual performance bonus

Job summary

Oscar is seeking a Manager, Regulatory Reporting to lead regulatory compliance programs within its Compliance team. You will oversee development, implementation, and management of all compliance programs to align with healthcare regulatory requirements.

This remote role supports Dallas-based residents, with potential future hybrid options. You will report to the Director, Regulatory Audit & Reporting and drive timely regulatory submissions, dashboards, and cross-functional collaboration while

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 and accreditation audit/policy requirements.
• 3+ years experience working with regulations and translating into operational procedures.
• 3+ years experience managing several critical, 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, including HIPAA, Medicare, ACA, and Medicaid.
• Lead the regulatory reporting team, providing guidance, direction, and mentorship to ensure successful implementation and timely execution of regulatory reporting submissions
• Coordinate and respond to data submission requests for internal and external audits
• Develop dashboards and inventory processing method 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 areas of risk, and provide guidance on internal control design and implementation.
• Provide regular updates to executive management and the Board of Directors including, but not limited to, developing and delivering reports, presentations, and memoranda.
• Provide training, education, and communication to the enterprise regarding compliance topics and industry best practices.
• Ensure that all teams are aware of, and complying with, the procedures to follow compliance requirements.
• Delegate tasks and responsibilities effectively to departmental leads to ensure timely compliance actions.
• Develop and implement compliance improvement plans where required.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Skills

Payer experience

Leadership of direct reports

Health care regulatory experience

Regulatory/compliance program

Audit and policy implementation

Education

Bachelor's degree or commensurate work experience

Tools

Regulatory reporting software

Job description

Oscar is seeking a Manager, Regulatory Reporting to lead regulatory compliance programs within its Compliance team. You will oversee development, implementation, and management of all compliance programs to align with healthcare regulatory requirements.

This remote role supports Dallas-based residents, with potential future hybrid options. You will report to the Director, Regulatory Audit & Reporting and drive timely regulatory submissions, dashboards, and cross-functional collaboration while