Oscar Health
Hi, we’re Oscar. We’re hiring an Associate, Delegate Oversight to join our Compliance team.
Oscar is a 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, Compliance Audit and Monitoring supports the enterprise's compliance program and activities. You will assist in the development of all compliance program activities to ensure understanding of healthcare regulatory requirements. You will assess department compliance to laws, regulations, standards, and their procedures by conducting audit and monitoring activities.
You will report into the Sr. Manager, Compliance Audit and Monitoring.
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 your 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. Full‑time employees are eligible for benefits including medical, dental, vision, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Responsibilities
Help create a risk‑based audit and monitoring plan for the healthcare organization.
Review healthcare regulations, including HIPAA, Medicare, and Medicaid regulations to ensure compliance.
Conduct assigned audits based on departmental audit plans.
Communicate with teams to understand their business operations and test their compliance with regulations.
Evaluate compliance effectiveness and identify areas for improvement.
Draft and complete accurate audit reports, ensuring that the audit findings and conclusions are communicated clearly to the business unit.
Help identify compliance gaps and risks, and contribute to the development of proactive strategies to address them.
Help maintain compliance policies, procedures, and controls in alignment with regulatory requirements.
Provide regular updates to leadership on compliance audit and monitoring activities, findings, and recommendations.
Compliance with all applicable laws and regulations.
Other duties as assigned.
Requirements
Bachelor’s Degree or equivalent work experience.
2+ years experience working in health care or related field.
2+ years experience in health plan compliance.
2+ years driving compliance with regulatory and accreditation audit/policy requirements.
2+ years experience working with regulation and translating into operational procedures.
2+ years experience/background in a fast‑paced environment.
Bonus Points
Certification in Healthcare Compliance (CHC), Certified Compliance and Ethics Professional (CCEP), or similar.
Fluency with State DOI audit and/or reporting obligations.
State DOI audit management experience.
Experience in a start‑up and/or health‑tech environment.
Experience in a TPA setting.
This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.
Equal Opportunity Employer At Oscar, being an Equal Opportunity Employer means more than upholding discrimination‑free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We’re on a mission to change health care — an experience made whole by our unique backgrounds and perspectives.
Artificial Intelligence (AI) Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
Reasonable Accommodation Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. If you need reasonable accommodations during the application process, please contact the Oscar Benefits Team (accommodations@hioscar.com) to let us know.
California Residents For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy.
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Oscar is a 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, Compliance Audit and Monitoring supports the enterprise's compliance program and activities. You will assist in the development of all compliance program activities to ensure understanding of healthcare regulatory requirements. You will assess department compliance to laws, regulations, standards, and their procedures by conducting audit and monitoring activities.
You will report into the Sr. Manager, Compliance Audit and Monitoring.
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 your 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. Full‑time employees are eligible for benefits including medical, dental, vision, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Responsibilities
Help create a risk‑based audit and monitoring plan for the healthcare organization.
Review healthcare regulations, including HIPAA, Medicare, and Medicaid regulations to ensure compliance.
Conduct assigned audits based on departmental audit plans.
Communicate with teams to understand their business operations and test their compliance with regulations.
Evaluate compliance effectiveness and identify areas for improvement.
Draft and complete accurate audit reports, ensuring that the audit findings and conclusions are communicated clearly to the business unit.
Help identify compliance gaps and risks, and contribute to the development of proactive strategies to address them.
Help maintain compliance policies, procedures, and controls in alignment with regulatory requirements.
Provide regular updates to leadership on compliance audit and monitoring activities, findings, and recommendations.
Compliance with all applicable laws and regulations.
Other duties as assigned.
Requirements
Bachelor’s Degree or equivalent work experience.
2+ years experience working in health care or related field.
2+ years experience in health plan compliance.
2+ years driving compliance with regulatory and accreditation audit/policy requirements.
2+ years experience working with regulation and translating into operational procedures.
2+ years experience/background in a fast‑paced environment.
Bonus Points
Certification in Healthcare Compliance (CHC), Certified Compliance and Ethics Professional (CCEP), or similar.
Fluency with State DOI audit and/or reporting obligations.
State DOI audit management experience.
Experience in a start‑up and/or health‑tech environment.
Experience in a TPA setting.
This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.
Equal Opportunity Employer At Oscar, being an Equal Opportunity Employer means more than upholding discrimination‑free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We’re on a mission to change health care — an experience made whole by our unique backgrounds and perspectives.
Artificial Intelligence (AI) Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
Reasonable Accommodation Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. If you need reasonable accommodations during the application process, please contact the Oscar Benefits Team (accommodations@hioscar.com) to let us know.
California Residents For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy.
#J-18808-Ljbffr