Delegation Oversight Associate

1 month ago
Full-time
Mid Level
Operations
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

  • Help create a risk-based audit and monitoring plan for the healthcare organization.
  • Review healthcare regulations (including HIPAA, Medicare, Medicaid, NCQA) to ensure organizational compliance.
  • Conduct assigned audits based on departmental audit plans.
  • Partner with business teams to understand operations and test their compliance with regulations and procedures.
  • Evaluate compliance effectiveness and identify areas for improvement.
  • Draft and complete accurate audit reports, communicating findings and conclusions to business units.
  • Identify compliance gaps and risks and contribute to developing proactive remediation strategies.
  • Help maintain compliance policies, procedures, and controls to align with regulatory requirements.
  • Provide regular updates to leadership on compliance audit and monitoring activities and recommendations.
  • Ensure compliance with all applicable laws and regulations and perform other duties as assigned.

Requirements

  • Bachelor's degree or equivalent work experience.
  • 3+ years experience working in health care or a related field.
  • 3+ years experience in health plan compliance.
  • 3+ years driving compliance with regulatory and accreditation audit/policy requirements.
  • 3+ years experience translating regulation into operational procedures.
  • 3+ years experience working in a fast-paced environment.
  • Certification in Healthcare Compliance (CHC), Certified Compliance and Ethics Professional (CCEP), or similar (preferred).
  • Fluency with State Department of Insurance (DOI) audit and/or reporting obligations (preferred).
  • State DOI audit management experience (preferred).
  • Experience in a start-up and/or health tech environment or in a TPA setting (preferred).

Benefits

  • Base pay range: $87,188 - $114,434 per year.
  • Eligible for annual performance bonuses.
  • Monthly vacation accrual at a rate of 15 days per year.
  • Medical, dental, and vision benefits.
  • 11 paid holidays, paid sick time, and paid parental leave.
  • 401(k) plan participation, life and disability insurance.
  • Paid wellness time and reimbursements; reasonable accommodation support; remote work (role open to candidates residing in Dallas, TX).

Interested in this position?

Apply directly on the company website

Apply Now

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