Specialist - Claims Quality Regulatory Operations

September 20

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Oscar

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💰 $140M Private Equity Round on 2020-12

Description

• Support compliance within Provider Operations • Coordinate responses and deliver positive outcomes based on stakeholder inputs • Conduct detailed data analysis • Support preparation of Market Conduct Exam exhibits/narratives • Review policies & procedures within Operations • Develop trusting relationships with stakeholders • Prepare for Market Conduct Exams and regulatory reviews • Ensure adherence to effective processes and procedures

Requirements

• 1+ years of relevant experience working with operational compliance, regulatory, and data analysis within Healthcare Claims • 1+ years experience designing and improving workflows • Demonstrated understanding of Provider operations in the health payer industry • 1+ years experience working with regulatory bodies and Market Conduct Exams • Regulatory experience • Knowledge management, training, or content development in operational settings • Process Improvement or Lean Six Sigma training • 1+ years experience using data software (e.g. Excel, VGA, Macros, SQL and/or Python) to manipulate and analyze large data sets to solve business problems

Benefits

• Participation in Oscar’s unlimited vacation program • Annual performance bonuses • 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