Associate, Exchange Compliance Compliance | New York, New York, United States

Hi, we're Oscar. We're hiring an Associate, Exchange Compliance 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 Associate, Exchange Compliance will lead operations and foster relationships with regulators, including operational and technical staff at state-based insurance exchanges and with CMS. The role bridges the gap between regulators and Oscar operations to ensure regulatory changes and operational adjustments are implemented and monitored. The Associate will review operational practices, create and enforce policies and procedures, perform regulatory reviews, and ensure compliance with all industry specifications, standards, regulations, and laws. Work Location This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while the other two office days are flexible to suit your schedule. Pay Transparency The base pay for this role is $98,400 - $129,150 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities Partner with all relevant departments to maintain current compliance levels. Provide training to team members regarding regulatory compliance. Ensure that all team members are aware of procedures to follow compliance requirements. Develop and implement compliance improvement plans where required. Delegate tasks to other departments to bring compliance levels up. Develop reports, where necessary, to the governing body. Assist regulatory authorities with completing site visits and external audits. Prepare for, and conduct audits alongside external authorities. Conduct regular audits in all required areas to ensure compliance levels. Support account management for CMS and state-based exchange regulators; manage main technical and operational action items to ensure compliance. Escalate complex operational and technical issues and questions to regulators while maintaining compliance and preserving Oscar's reputation. Be the lead contact for Oscar on all exchange calls and requests. Help build a standard set of processes for teams to track dependencies, deliverables, and product/feature launches. Work collaboratively with multiple teams. Ensure compliance with all applicable laws and regulations. Other duties as assigned. Requirements Bachelor's Degree or equivalent work experience.

1. year experience in health plan compliance.
2. years experience with State DOI health insurance rules and regulations, CMS ACA rules and requirements.

2+ years experience managing high-volume and complicated projects, keeping track of details, and staging work to deliver projects on time. Experience (CHC, CCEC, or similar) in a start-up and/or health tech environment. Experience in a TPA setting. Experience with state-based exchanges and the federally facilitated marketplace. Experience improving and designing processes. Experience attending external meetings with key regulatory staff. Experience presenting complex concepts to Senior Level staff for business decisions. We are an Equal Opportunity Employer. We cultivate an environment where people can be their most authentic selves and find belonging and support. Our mission is to change health care. #J-18808-Ljbffr Oscar Health Insurance