Regulatory Complaints, Associate
Oscar Health
Hi, we're Oscar. We're hiring a Regulatory Complaints, Associate to join our Regulatory team.
Oscar is the first 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 Regulatory Complaints, Associate is a key resource for regulators, with responsibility for providing key insight on . This role will partner with internal business departments to resolve member and provider complaints, identify issues and trends, and provide written resolution to regulators. The Associate will play a key role in the development of relationships with regulators, and will serve as a resource to their teammates in the resolution of complaints.
You will report into the Senior Manager, Regulatory Operations.
Work Location: This is a remote position, open to candidates who reside in: Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Missouri, Nebraska, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas and Virginia. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area.
Pay Transparency: The base pay for this role in the states of New Jersey and New York is: $101,844 - $133,670 per year. The base pay for this role for all other locations is: $91,659 - $120,303 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:
- Research and Resolution of Regulatory Complaints
- Supports identification of escalated issues by using Oscar systems and processes
- Partners with internal business teams and leadership to share trends related to complaints received while proposing solutions to prevent recurrence
- Advise teammates on potential solutions to current regulatory complaints
- Develop and maintain successful relationships with state insurance regulators
- Compliance with all applicable laws and regulations.
Requirements:
- 4+ years of experience in health insurance customer service, claims, appeals, or Regulatory team
- 2+ years of experience working with regulators
Bonus points:
- Experience resolving health insurance claims and appeals
- Experience with the individual market health insurance plans
- Experience working cross-functionally with internal business partners
This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.
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.
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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