Associate, UM Regulatory Operations

1 hour, 53 minutes ago
Full-time
Junior
Project and Program Management
Oscar

Oscar

Oscar is a health insurance company that offers plans for individuals, families, and small businesses. With a focus on humanizing health care through technology, design, and data, Oscar provides easy-to-understand bills, 24/7 access to doctors, and a p...

Insurance
1K-5K
Founded 2012

Description

  • Lead end-to-end management of cross-functional implementations and projects, including project planning, stakeholder engagement, and on-time delivery.
  • Collect, document, and manage business requirements for internal process improvements and strategic initiatives.
  • Build, manage, and communicate project plans, key decisions, governance activities, and risk mitigation strategies.
  • Analyze departmental data and metrics to evaluate performance and support mitigation strategies.
  • Work with internal and external stakeholders to interpret and implement evolving regulations across UM operations.
  • Coordinate regulatory request management, including market conduct exams, URA filings, license renewals, and MHPAEA compliance.
  • Coordinate NCQA deliverables for UM standards.
  • Draft and evaluate UM policies and procedures to ensure compliance within the UM program.
  • Mentor team members and support colleague growth and professional development.
  • Ensure compliance with all applicable laws and regulations.

Requirements

  • Bachelor's degree or 3+ years of commensurate experience.
  • 3+ years of experience in healthcare Utilization Management operations, health insurance, or a related field.
  • 2+ years of experience supporting regulatory compliance activities, including MHPAEA, market conduct exams, license renewals, NCQA surveys/accreditation, and other regulatory filings.
  • 2+ years of experience in end-to-end project management or process improvement initiatives.
  • 2+ years of experience in regulatory implementation and compliance.
  • 2+ years of experience designing and improving workflows and standing up operating and technical procedures.
  • 2+ years of experience using data software such as Excel, Microsoft Office, Google Sheets, or GSuite (preferred).
  • Experience collaborating with legal, compliance, and cross-functional teams (preferred).
  • Experience with process improvement methodologies such as Lean, Six Sigma, or Theory of Constraints (preferred).

Benefits

  • Base salary of $87,188 to $118,434 per year.
  • Eligibility for annual performance bonuses.
  • Eligibility for Oscar's unlimited vacation program.
  • 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.

Interested in this position?

Apply directly on the company website

Apply Now

Similar Roles

Licensed Civil Engineer - Site Design

Olsson 1K-5K Construction & Engineering

Olsson is hiring a Licensed Civil Engineer for its Site Design team to manage small to medium land development projects, prepare design documentation, and coordinate with internal teams and clients.

8 minutes ago

Project Manager (Media)

DEPT® 1K-5K Media

DEPT® is hiring a Manager, Project Management to oversee paid media campaign execution within its Creative & Media division, ensuring performance marketing projects run smoothly, on time, and on budget.

Asana Google Analytics JIRA Trello
8 minutes ago

Commissioning Client Manager - Data Center

Olsson 1K-5K Construction & Engineering

Olsson is hiring a Client Manager to own relationships with key data center commissioning clients and coordinate service delivery across mission-critical projects.

8 minutes ago

Associate Project Manager

Kaseya 1K-5K IT Services

Kaseya is hiring an Associate Project Manager to support customer onboarding and software implementation projects within its professional services team, ensuring delivery is organized, on schedule, and aligned to customer needs.

Salesforce
23 minutes ago

You're on a roll! Sign up now to keep applying.

Sign Up

Already have an account? Log in

Used by 14,729+ remote workers