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Atlanta, Georgia, United States · Remote OK
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The Associate Director leads a team of analysts to investigate regulatory inquiries and ensure adherence to state and federal claims compliance standards. This role collaborates cross-functionally to translate departmental strategy into actionable business plans while managing regulatory exams and operational KPIs.
Candidates must have at least 7 years of experience in claims operations and regulatory policy, along with 5 years of people management experience. A strong background in collaborating with regulatory agencies and managing complex, data-driven projects is required.
Hi, we're Oscar. We're hiring a Claims Compliance Associate Director to join our Claims team.
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.
The Associate Director, Claims Compliance leads a team of analysts responsible for investigating and responding to regulatory inquiries, including market conduct exams. This role is responsible for ensuring adherence to state and federal regulations, working directly with regulators on exams and investigations, and partnering across Insurance Operations and cross-functionally to ensure processes and workflows are in place to strengthen claims compliance. The Associate Director transforms ideas from vision to implementation, with the goal of improving claims compliance and regulatory performance.
You will report into the Senior Director, Claims Quality and Compliance.
Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia. 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 is:$134,136 - $176,053 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses
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 ([email protected]) 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.
We're on a mission to reinvent health insurance.
Oscar Health is a leading healthcare technology company, whose mission is to make a healthier life accessible and affordable for all.
Offices: New York, New York 10013, US · Playa Vista, CA 90066, US · Tempe, AZ 85281, US
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