About the role:The Associate Director, Corporate Compliance is responsible for training, investigating, monitoring, and enforcing, when necessary, programs, policies, and practices to ensure all applicable operational functions are in compliance with federal, state and local regulatory requirements. The Associate Director manages compliance efforts for Oscar's licensed entities delivering Qualified Health Plans (QHPs) in the individual and small group markets. You will work with leadership and the larger Compliance team servicing Oscar and advising on how best to service its third-party QHP clients. You will use as a foundation for a robust and best in class compliance program including, but not limited to, the seven elements of an effective compliance program as published by the Office of the Inspector General (OIG). You will partner with operational leaders to identify compliance risk, implement corrective action plans, and promote a culture of integrity and excellence across the organization.
You will report into the Director, Corporate and Regulatory Compliance.
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. #LI-Hybrid
Pay Transparency: The base pay for this role is: $149,040 - 195,615 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:- Lead, mentor, and support the Compliance team across all lines of business, encouraging professional development and advancing institutional compliance knowledge.
- Support the design, implementation, and continuous improvement of the corporate compliance program to promote an organizational culture of responsibility and accountability.
- Monitor and interpret federal and state regulations to lead business strategies that exceed industry standards for insurers, tech innovators, and public companies.
- Lead compliance investigations to assess adherence to obligations, and oversee the development, and monitoring of effective Corrective Action Plans.
- Develop and manage comprehensive compliance training programs throughout the entire organization.
- Produce and deliver clear, actionable compliance reports tailored for all organizational levels, including executive leadership and external regulatory bodies.
- Partner with Risk and Controls to manage regulatory risk sustainably while deploying scalable compliance functions that support Oscar's technology, strategic partners, and business growth.
- Lead the Compliance team in regulatory implementations and monitoring.
- TEFCA subject matter expert
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements:- 7+ years' experience in a healthcare compliance setting, specifically in healthcare compliance, regulatory affairs, or other related experience.
- 5+ years' experience in managing effective Compliance teams.
- 5+ Experience applying state and federal health insurance statutes, regulations, marketplace, and MA requirements to meet reporting and audit obligations
Bonus points:- Operational or internal audit experience
- Enterprise risk management experience
- HIPAA Security experience
- Experience in a start-up and/or health tech environment
Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. 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.
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