Associate, Regulatory Operations

Summary

Join Oscar's Legal Operations team as an Associate, Regulatory Operations! This role focuses on project managing and supporting tasks to ensure Oscar's compliance with federal and state product filing requirements. You will collaborate with internal teams and external regulators, reporting to the Sr. Manager, Regulatory Operations. The position offers a blended work culture with flexibility depending on location, with a requirement to reside in one of the specified states. Compensation includes a competitive salary, employee benefits, unlimited vacation, and annual performance bonuses. This role requires experience in healthcare, health plan/managed care, and specific regulatory filing systems.

Requirements

• Bachelor’s degree or 4 years of commensurate experience
• 4+ years of healthcare industry experience, in the health plan/managed care space
• 2+ years of SERFF, HIOS, and/or MPMS experience
• Demonstrated project management skills

Responsibilities

• Manage required annual QHP filings (form, binder, rate) with state regulators, state exchanges, and CMS, including the development of action plans that ensure regulatory approval
• Develop successful relationships with regulatory agencies, including state insurance regulators (e.g., Alabama Department of Insurance, Florida Office of Insurance Regulation, Michigan’s Department of Insurance and Financial Services,  North Carolina Department of Insurance, Ohio Department of Insurance, Tennessee Department of Commerce and  Insurance), state-based exchanges (e.g., Georgia Access, New Jersey Department of Banking and Insurance, New York State of Health, Pennsylvania Insurance Department and  Virginia Bureau of Insurance), and CMS
• Be the advisor to your teammates and teams to lead the accurate completion of filing deliverables as a subject matter expert
• Develop sustainable processes which simplify outputs while ensuring high quality deliverables, including maintenance of a repository of guidance and resources
• Manage other projects to support filings while achieving deadlines and managing competing priorities
• Compliance with all applicable laws and regulations
• Other duties as assigned

Preferred Qualifications

3+ years of SERFF, HIOS, and/or network data analysis experience

Benefits

• Medical, dental, and vision benefits
• 11 paid holidays
• Paid sick time
• Paid parental leave
• 401(k) plan participation
• Life and disability insurance
• Paid wellness time and reimbursements