Senior Analyst, Regulatory

Job Description

Job Description

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

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 is a contributor and owner of mission-critical workflows to maintain and operate the Independent Dispute Resolution process. In assigned jurisdictions, the Senior Analyst, Regulatory Affairs will intake disputes from providers, participate in negotiation with team support, and prepare arbitration briefing where needed, all while maintaining detailed documentation for tracking purposes. The Senior Analyst, Regulatory Affairs supports the Regulatory Affairs function in serving as an enterprise wide resource on public policy and IDR trends.

You will report into the Director, Regulatory Affairs.

Work Location :

This is a remote position, open to candidates who reside in : Atlanta, GA. 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 : $69,120 - $90,720 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities :

• Be the subject matter expert on assigned state and federal policy for provider dispute and IDR legislative matters, while applying newly proposed laws and regulations to processes in assigned jurisdictions.
• Support sustainable processes which simplify our growing team's outputs while ensuring high quality deliverables.
• Support the wider team and Regulatory Affairs Counsel with preparing concise, user-friendly briefing summaries and analyses based on case needs
• Manage projects with notable complexity with department possible effects, developing action plans and managing from start to completion.
• Provide IDR expertise to designated teams and work with internal legal counsel.
• Be the primary contact for provider negotiations relating to IDR.
• Perform related tasks as assigned by Director, Regulatory Operations.
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

Requirements :

Bonus points :

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 (accommodations@hioscar.com) 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 Notice to Job Applicants.