Sr. Analyst, Regulatory Complaints

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

About the role:

The Sr. Analyst, Regulatory Complaints is an important resource for regulators, with responsibility for providing responses to potential concerns from State DOIs. You will partner with internal business departments to resolve member and provider complaints, identify issues and trends, and provide written resolution to regulators. You will meaningfully contribute to the development of relationships with regulators, and will be a resource to their teammates in the resolution of complaints.

You will report into the Sr. Manager, Regulatory Operations.

Work Location: This is a remote position, open to candidates who reside in: Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Missouri, Nebraska, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas and Virginia. 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.

If you live within commutable distance to our New York City office (in Hudson Square) or our Tempe office (off the 101 at University Ave), you will be expected to come into the office at least three days each week. Otherwise, this is a remote / work-from-home role. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule.

Pay Transparency: The base pay for this role in the states of New Jersey and New York is: $38.22 - $50.16 per hour. The base pay for this role in all other locations is: $34.39 - $45.24 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.

Responsibilities:

• Research and resolution of Regulatory Complaints
• Support identification of escalated issues by using Oscar processes
• Partner with leadership to share trends related to complaints received while proposing solutions to prevent recurrence
• Advise teammates on potential solutions to current regulatory complaints
• Develop successful relationships with state insurance regulators
• Compliance with all applicable laws and regulations.

Requirements:

• 3+ years of experience in health insurance customer service, claims, appeals, or Regulatory team
• 2+ years of experience working with regulators

Bonus points:

• Experience resolving health insurance claims and appeals
• Experience with the individual market health insurance plans
• Experience working cross-functionally with internal business partners

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 Privacy Policy.