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Senior Analyst, UM Regulatory Operations

17 hours, 51 minutes ago
United States
Full-time
Junior
Operations Analyst
Project and Program Management
Apply Now
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
View All Jobs 70

Description

  • Coordinate projects and operational processes that support regulatory and compliance milestones and deliverables.
  • Partner with leadership to implement regulations, support state filings, and execute related projects.
  • Collaborate with cross-functional teams and stakeholders to align action plans and process improvements with project goals.
  • Support audit exams, including NCQA, MHPAEA, and state audits.
  • Identify risks and help resolve compliance gaps through regulatory implementation, audits, and Corrective Action Plans.
  • Ensure compliance with all applicable laws and regulations.
  • Support design, optimization, and implementation of operational processes and improvements.
  • Perform other duties as assigned.

Requirements

  • 1+ years of experience in healthcare audits or accreditations supporting NCQA and/or regulatory compliance.
  • 1+ years of professional experience in utilization management, healthcare operations, compliance, or a related field.
  • 1+ years of experience using Adobe Acrobat and Google Suite or Microsoft Office tools such as Sheets/Excel, Docs/Word, and Slides/PowerPoint.
  • 1+ years of experience collaborating across departments with stakeholders to drive projects.
  • 1+ years of experience supporting state audits and exams (bonus point).
  • Experience in ACA marketplace, utilization management, healthcare quality and compliance, or provider data (preferred).
  • Training or experience applying Continuous Process Improvement or Lean Six Sigma principles (preferred).
  • Experience with project coordination or management in a matrixed organization (preferred).
  • 1+ years of experience developing and presenting information and recommendations (preferred).
  • Relevant skills, education, and experience will be considered for final offer determination.

Benefits

  • Base salary of $67,813 - $89,004 per year.
  • Eligible for employee benefits.
  • Participation in Oscar's unlimited vacation program.
  • Annual performance bonuses.
  • Medical, dental, and vision insurance.
  • 11 paid holidays, paid sick time, and paid parental leave.
  • 401(k) plan participation, life and disability insurance.
  • Paid wellness time and reimbursements.

Interested in this position?

Apply directly on the company website

Apply Now

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