Risk & Compliance Associate, Oscar Health

• 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, CMS requirements
• 2+ years experience managing high-volume and complicated projects, keeping track of details, and staging work to complete projects on time

Desirable

• The Associate, Risk / Compliance ensures that Oscar complies with industry specifications, standards, regulations, and laws
• Hey review operational practices, create and enforce procedures, and perform regulatory reviews
• You will ensure and enforce compliance where required throughout the facility to ensure complete compliance in all areas of the business
• You will report to the Sr. Manager, Corporate Compliance
• Partner with all relevant departments to make sure current compliance levels
• Provide education to team members regarding regulatory compliance
• Ensure that all team members are aware of the procedures to be followed to follow compliance requirements
• Develop and implement compliance improvement plans where required
• Delegate tasks to other departments to bring compliance levels up
• Develop reports 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 check compliance levels
• Compliance with all applicable laws and regulations
• Other duties as assigned