Senior Analyst, Regulatory Licensing

Socket.dev; United States; On-site; USD 37,000 - 54,000; Full time

Benefits offered by this job

Medical, dental, vision benefits

Paid holidays

Paid time off

401(k) plan

Job summary

Oscar Health is hiring a Senior Analyst, Regulatory Licensing to join the Risk Adjustment team. You will manage filings for state certificates of authority and ensure compliance with federal and state requirements while coordinating with internal teams and regulators.

The role emphasizes project management, development of filing processes, and maintaining regulatory knowledge across multiple states. This remote position offers state-specific pay and benefits and opportunities to contribute to

Qualifications

• 2+ years licensing experience in health plan/managed care
• 1+ year experience designing and improving workflows
• Bachelor's degree or 4 years of commensurate experience
• Demonstrated project management skills

Responsibilities

• Manage the preparation and filing of certificates of authority through routine filings for assigned states and regions
• Develop sustainable processes for internal tracking and monitoring annual and ad hoc filings
• Track and communicate filing objections and guide resolutions with impacted teams
• Be SMEs on assigned states and contribute to internal procedural guides on filing obligations
• Build and support relationships with regulatory bodies (state regulators)
• Ensure compliance with applicable laws and regulations
• Other duties as assigned

Skills

Licensing experience

Project management

Workflow design

Regulatory knowledge

Regulatory communications

Education

Bachelor's degree or 4 years of commensurate experience

Tools

SERFF

Job description

Hi, we're Oscar. We're hiring a Senior Analyst, Regulatory Licensing to join our Risk Adjustment.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family.

About the role:

The Senior Analyst, Regulatory Licensing is an important member of the Corporate Legal team responsible for project managing and supporting discrete tasks to ensure Oscar is compliant with federal and state certificate of authority and product filing requirements. You will work with internal Oscar teams and interfaces with our external regulators.

You will report into the Manager, Risk Adjustment Retrospective.

Work Location:

This is a remote position, open to candidates who reside in: Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Missouri, Nebraska, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas and Virginia. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote

Pay Transparency:

The base pay for this role in the states of New Jersey and New York is: $29.86 - $39.19 per hour. The base pay for this role in all other locations is: $26.87 - $35.27 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.

Responsibilities:

• Manage the preparation and filing of Oscar's certificates of authority through routine filings for assigned states and regions, serving as an advisor to cross-functional teams
• Develop sustainable processes for internal tracking and monitoring annual and ad hoc filings with diverse teams, including maintaining a repository of previously received objections to decrease YOY objection totals
• Track and communicate filing objections received and guide overall resolution together with impacted teams
• Be the subject matter expert on assigned states and contribute to the development of a repository of internal procedural guides on annual filing obligations to support teams and retain institutional knowledge
• Build and support successful relationships with regulatory bodies, including state insurance regulators (e.g., Florida Office of Insurance Regulation, Arizona Department of Insurance, Texas Department of Insurance)
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• 2+ years of licensing experience, in the health plan/managed care space.
• 1+ year of experience designing and improving workflows
• Bachelor's degree or 4 years of commensurate experience.
• Demonstrated project management skills.

Bonus points:

• Familiarity with ACA marketplace plans, rules and regulations
• 1+ years of SERFF, and/or network data analysis experience

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI):

Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation:

Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team ([e-mail]) to make the need for an accommodation known.

California Residents:

For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.