Associate Director, Corporate Compliance
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started 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 Director, Corporate Compliance is responsible for training, investigating, monitoring, and enforcing programs, policies, and practices to ensure all applicable operational functions comply with federal, state, and local regulatory requirements. The role 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 to advise on servicing Oscar and its third-party QHP clients, using 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. You will report into the Director, Corporate and Regulatory Compliance.
This is a remote position, open to candidates who reside in Atlanta, GA.
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.
- Serve as a TEFCA subject matter expert.
- Ensure compliance with all applicable laws and regulations.
- Perform 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+ years' 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
The base pay for this role is $134,136 - $176,053 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.
Benefits
- Medical, dental, and vision benefits.
- 11 paid holidays.
- Paid sick time.
- Paid parental leave.
- 401(k) plan participation.
- Life and disability insurance.
- Paid wellness time and reimbursements.