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Associate, Regulatory Operations jobs in United States
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Oscar Health · 4 days ago

Associate, Regulatory Operations

Oscar Health is a health insurance company focused on serving its members through a technology platform. They are hiring an Associate, Regulatory Operations to manage compliance with federal and state product filing requirements and work with internal teams and external regulators.
HealthcareHealth InsuranceProperty & Casualty InsuranceHealth CareInsuranceInsurTech
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Responsibilities

Manage required annual QHP filings (form, binder, rate) with state regulators, state exchanges, and CMS, including the development of action plans that ensure regulatory approval
Develop and maintain successful relationships with regulatory agencies, including state insurance regulators (e.g., Alabama Department of Insurance, Florida Office of Insurance Regulation, Michigan's Department of Insurance and Financial Services, North Carolina Department of Insurance, Ohio Department of Insurance, Tennessee Department of Commerce and Insurance), state-based exchanges (e.g., Georgia Access, New Jersey Department of Banking and Insurance, New York State of Health, Pennsylvania Insurance Department and Virginia Bureau of Insurance), and CMS
Be the advisor to your teammates and teams to lead the accurate completion of filing deliverables as a subject matter expert
Develop sustainable processes which simplify outputs while ensuring high quality deliverables, including maintenance of a repository of guidance and resources
Manage other projects in support of filings while achieving deadlines and managing competing priorities
Compliance with all applicable laws and regulations
Other duties as assigned

Qualification

Healthcare Industry ExperienceHealth Plan Managed CareSERFFHIOSMPMSProject Management

Required

Bachelor's degree or 4 years of commensurate experience
4+ years of healthcare industry experience, ideally in the health plan/managed care space
2+ years of SERFF, HIOS, and/or MPMS experience
Demonstrated project management skills

Preferred

3+ years of SERFF, HIOS, and/or network data analysis experience

Benefits

Employee 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

Company

Oscar Health

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Oscar is a health insurance company that offers individual and family plans, medicare advantages, and small group products.

Funding

Current Stage
Public Company
Total Funding
$1.99B
Key Investors
Tiger Global ManagementBaillie Gifford,CoatueAlphabet
2025-09-16Post Ipo Debt· $355M
2021-03-03IPO
2020-12-17Private Equity· $140M

Leadership Team

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Mark Bertolini
Chief Executive Officer
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Steven B. Kelmar
Executive Vice President & COS
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Company data provided by crunchbase