Qualifications
Responsibilities:
Assist in developing a risk-based audit and monitoring plan for the healthcare organization.
Review regulations, including HIPAA, Medicare, Medicaid, and NCQA, to ensure compliance.
Conduct audits as assigned based on departmental plans.
Collaborate with teams to understand business operations and test compliance with regulations.
Evaluate compliance effectiveness and identify areas for improvement.
Draft and finalize audit reports, clearly communicating findings to relevant business units.
Identify compliance gaps and contribute to proactive strategies to address them.
Maintain compliance policies, procedures, and controls according to regulatory requirements.
Provide regular updates to leadership on compliance audit and monitoring activities.
Ensure compliance with all applicable laws and regulations.
Perform other duties as assigned.
Requirements:
Bachelor's Degree or equivalent professional experience.
Knowledge of healthcare regulations and compliance standards.
Strong analytical and communication skills.
Ability to work collaboratively in a team environment.
Detail-oriented with a commitment to accuracy.
About the role
Join Oscar as an Associate in our Delegate Oversight team, where we prioritize compliance and ensure our members receive the best healthcare experience.
Oscar is pioneering a new era in health insurance, built around a comprehensive technology platform and a commitment to exceptional member service. Founded in 2012, we aim to be the health insurance provider we would want for ourselves, one that acts like a trusted family doctor.
About the Role:
As the Associate, Delegate Oversight, you will be integral to our compliance program. Your responsibilities will include supporting compliance initiatives, understanding healthcare regulatory requirements, conducting audits, and monitoring activities to ensure adherence to laws and standards.
You will report directly to the Senior Manager of Compliance Audit and Monitoring.
Work Location: This position is located in our Tempe, AZ office, featuring a hybrid work schedule with three days in-office per week. Thursdays are mandatory in-office days for team meetings, while the remaining two days are flexible to fit your schedule. #LI-Hybrid
Pay Transparency: The base salary for this role ranges from $87,188 to $114,434 annually. You will also enjoy employee benefits, accrue 15 days of vacation per year, and be eligible for annual performance bonuses.
About Oscar Health
Oscar is redefining health insurance by creating a member-centric model that leverages cutting-edge technology. Our mission is to provide a healthcare experience that feels personal and supportive, as if you have a doctor in the family.
