[Hiring] Sr. Analyst, UM Regulatory Operations @Oscar Health
Apr 14, 2025 - Oscar Health is hiring a remote Sr. Analyst, UM Regulatory Operations. đź’¸ Salary: $72,800 - $95,550 per year. đź“ŤLocation: USA.
Role Description
You will support the design, optimization, and implementation of processes and improvements to operations to support achieving organizational goals. You will support implementations for regulatory requirements, compliance projects, Utilization Management audits, and other projects, as needed.
You will report to the Manager, UM Regulatory Operations.
Work Location:
- Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.
- If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week.
- Otherwise, this is a remote / work-from-home role.
- You must reside in one of the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C.
- Note, this list of states is subject to change.
Pay Transparency
- The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $72,800 - $95,550 per year.
- The base pay for this role in all other locations is: $65,520 - $85,995 per year.
- You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities
- Coordinate projects and processes to help support key regulatory and compliance milestones and deliverables.
- Partner with leadership to implement regulations, support key state filings, and other projects.
- Partner with teams to ensure action plans and process improvements align with project goals, and participate in collaboration with peers and cross-functional stakeholders.
- Support audit exams (NCQA, MHPAEA, State).
- Help identify risks; respond to and resolve compliance gaps through regulatory implementation and in response to audits and Corrective Action Plans.
- Compliance with all applicable laws and regulations.
- Other duties as assigned.
Qualifications
- 1+ years of professional experience in utilization management, healthcare operations and/or compliance, or a related field.
- 1+ years of experience in Adobe Acrobat, and Google Suite or Microsoft Office (Sheets/Excel, Docs/Word, Slides/Powerpoint, etc).
- 1+ years of experience supporting state audits and exams.
- 1+ years of experience in process improvement, healthcare policy implementation.
- 1+ years of experience with interdepartmental collaboration with stakeholders to drive projects.
Bonus Points
- ACA marketplace, utilization management, healthcare quality and compliance, or provider data experience.
- Training or experience applying Continuous Process Improvement or Lean Six Sigma principles.
- Experience with project coordination or management in a matrixed organization.
- 1+ years of experience in developing and presenting information and recommendations.
Benefits
- 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.
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.
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| đź“Ť | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
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Salary
đź’¸
$72,800 - $95,550 per year
|
Remote
Location
USA
|
|
Job Type
full-time
|
Posted
Apr 14, 2025
|
| đź“Ť | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
