Remote Regulatory Reporting Manager – Health Compliance

name; Atlanta (GA); On-site; USD 96,000 - 126,000; Full time

Job summary

Oscar is seeking a Manager, Regulatory Reporting to join our Compliance team. This remote role oversees the development, implementation, and management of all compliance programs aligning with healthcare regulatory requirements.

Based in the United States, you will report to the Director, Regulatory Audit & Reporting, and lead a team ensuring timely submissions, effective data handling, and ongoing process improvements within a flexible, evolving work model.

Qualifications

• Bachelor's degree or commensurate work experience.
• 5+ years payer experience.
• 3+ years in leading direct reports and teams.
• 3+ years experience working in health care or related field with Policies & Procedures.
• 3+ years driving compliance with 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

Job description

Oscar is seeking a Manager, Regulatory Reporting to join our Compliance team. This remote role oversees the development, implementation, and management of all compliance programs aligning with healthcare regulatory requirements.

Based in the United States, you will report to the Director, Regulatory Audit & Reporting, and lead a team ensuring timely submissions, effective data handling, and ongoing process improvements within a flexible, evolving work model.