Director, Regulatory Compliance

Hi, we're Oscar. We're hiring a Director, Regulatory Compliance to join our Corporate Compliance team.

Oscar is the first health insurance company built around a full stack technology platform and a 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 Director, Regulatory Compliance oversees the regulatory implementation process and the compliance strategic operations processes. . You will lead all compliance efforts for Oscar’s licensed entities delivering Qualified Health Plans (QHPs) in the individual and small group markets.

You will report to the VP of Compliance.

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, 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, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $158,400 - $207,900 per year. The base pay for this role in all other locations is: $142,560 - 187,110 per year.. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants and annual performance bonuses.

Responsibilities

• Lead a Compliance team in performing (and evaluating and redesigning and setting a goal and vision for) Compliance regulatory implementation functions across Oscar’s lines of business.
• Deploy these responsibilities to support Oscar’s technology as it services our clients and strategic partners.
• Provide advisory, investigatory, and remedial support services – partnering with the Legal Department – to Oscar’s teams.
• In collaboration with the Legal and Government Affairs functions, manage Oscar’s implementation of state/federal regulations.
• Coordinate compliance strategic operations to include building new functionalities, overseeing new market entry and ensuring understanding of the coordinated operating model. Work with others in Compliance  and Oscar Medical Group, and with the other parts of Oscar’s Risk and Controls function, to manage regulatory risk sustainably but with a focus on growth and progress.
• Create productive, longer-term changes that lead Oscar’s compliance activities to exceed industry standards for insurers, tech innovators, and public companies.
• Grow strategy to exceed industry standards for insurers, tech innovators and public companies 
• Lead the RegulatoryCompliance  teams including performance management and career development. 
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 10+ years’ experience in a healthcare compliance setting, including managerial experience
• 10+ years’ experience with HIPAA Privacy
• 5+ experience applying state and federal health insurance statutes, regulations, marketplace, and MA requirements to meet reporting and audit obligations
• 5+ experience preparing and delivering reports to boards of directors
• 5+ experience and knowledge of the regulatory landscape

Bonus Points

• Compliance or internal audit experience
• Enterprise risk management experience
• Six Sigma
• Experience in a start-up and/or health tech environment
• Experience preparing and delivering reports destined for a public company board