Oscar

Award-winning recruitment consultancy; delivering talent across Tech, Digital, Life-Sciences, Energy & Construction

Associate, Regulatory Affairs

ComplianceComplianceFull TimeRemoteTeam 51-200H1B SponsorCompany SiteLinkedIn

Location

Arizona + 16 moreAll locations: Arizona, Florida, Illinois, Iowa, Kansas, Nebraska, New Jersey, New York, North Carolina, Ohio, Michigan, Missouri, Pennsylvania, South Carolina, Tennessee, Texas, Virginia

Posted

17 days ago

Salary

$87.2K - $114.4K / year

Bachelor Degree3 yrs expEnglish

Job Description

• Be the subject matter expert on assigned state and federal policy for provider dispute and IDR matters, while applying newly proposed laws and regulations to processes in assigned jurisdictions. • Prepare concise, user-friendly briefing based on case needs. • Be the team resource through mentoring team members, maintaining workflows, and work cross functionally to implement solutions where needed. • Partner with PRO Counsel, Regulatory Affairs colleagues, and cross functional business partners to problem solve and stand up new processes. • Support + optimize sustainable processes which simplify our growing team's outputs while ensuring high quality deliverables. • Manage projects with notable complexity with business area implications, developing action plans and managing from start to completion. • Deliver multiple, simultaneous and diverse assignments while adhering to strict deadlines. • Support cross-training, and knowledge development across Oscar • Perform eligibility reviews of disputed claims to ensure all cases are routed to the appropriate venue • Manage the end-to-end administrative lifecycle of each dispute by maintaining real-time updates on project management boards, gathering and redacting member documentation, and uploading supporting evidence to the appropriate portal stages within set regulatory deadlines • Independently manage workload and related dependencies in compliance with required regulatory timelines • Compliance with all applicable laws and regulations • Other duties as assigned

Job Requirements

  • Bachelor's degree in the humanities, legal studies, political science, public policy, public administration, public health or other relevant field, or a combination of education and experience.
  • 3+ years of legal or regulatory experience, ideally in the health plan/managed care space.
  • 2+ years experience working with state and federal political and legislative processes.
  • 2+ years experience, legislative tracking software, and Google Workspace.
  • 2+ years experience with insurance claims, appeals or regulatory complaints.

Benefits

  • Employee benefits
  • Participation in Oscar's unlimited vacation program
  • Annual performance bonuses

Related Categories

Related Job Pages