Manager, Member & Provider Compliance

Posted 30 days agoViewed

💎 Seniority level: Manager, 5+ years

📍 Location: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Washington, D.C.

💸 Salary: 92880.0 - 135450.0 USD per year

🔍 Industry: Health insurance

🏢 Company: Oscar Health👥 1001-5000💰 $140,000,000 Private about 4 years ago🫂 Last layoff over 4 years agoHealth Insurance InsurTech Insurance Health Care

⏳ Experience: 5+ years

🪄 Skills: LeadershipPythonSQLData AnalysisComplianceProcess improvement

Requirements:

5+ years of relevant experience in an operations role within the health insurance industry.
5+ years experience representing operational units with regulatory bodies including universe pulls, data analysis, and narrative development.
Experience developing, implementing, and managing Policies and Procedures within a healthcare organization.
Experience managing and developing a team.
Bonus: Experience with data software (e.g., Excel, SQL, Python) to analyze large data sets.

Responsibilities:

Be the subject matter expert for operational processes and systems to effectively represent the Operations organization in regulatory audits and reviews.
Develop and implement systems and processes to proactively identify potential compliance issues and continuously improve.
Develop, update, and streamline Policies and Procedures to ensure they are efficient and compliant.
Develop team workflows and guidelines that produce consistent and measurable outcomes; train, teach and mentor team members.
Collaborate across the organization and monitor initiative impact.

Apply