Oscar Health Insurance logo
Oscar Health Insurance

Operating on the belief that healthcare is broken, Oscar Health Insurance is on a mission to reinvent and humanize the industry by combining technology, design,

Sr. Analyst, Regulatory Complaints

Location

United States

Posted

2 days ago

Salary

$34 - $45 / hour

Seniority

Senior

No structured requirement data.

Job Description

Sr. Analyst, Regulatory Complaints

Oscar Health Insurance

Role Description Hi, we're Oscar. We're hiring a Senior Analyst, Regulatory Complaints to join our Compliance Team. 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. - Provide written resolution to regulators. - Contribute to the development of relationships with regulators. - Be a resource to 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 - 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. Qualifications - 3+ years of experience in health insurance customer service, claims, appeals, or Regulatory team. - 2+ years of experience working with regulators. Requirements - Experience resolving health insurance claims and appeals (bonus points). - Experience with the individual market health insurance plans (bonus points). - Experience working cross-functionally with internal business partners (bonus points). 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.

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