Senior Analyst, Regulatory Licensing

Posted Aug 6

This is a fully remote position, open to applicants in Arizona, +16 more states.

πŸ“‹ Description

β€’ Oversee the preparation and submission of Oscar's certificates of authority through regular filings for designated states and regions, acting as a consultant to cross-functional teams.

β€’ Create sustainable processes for internal tracking and monitoring of annual and ad hoc filings with various teams, which includes maintaining a repository of prior objections to reduce year-over-year objection totals.

β€’ Monitor and communicate any filing objections received, guiding the resolution process alongside affected teams.

β€’ Serve as the subject matter expert on designated states and aid in the development of a repository of internal procedural guides on annual filing requirements to assist teams and preserve institutional knowledge.

β€’ Foster and maintain effective relationships with regulatory authorities, including state insurance regulators.

β€’ Ensure compliance with all relevant laws and regulations.

β€’ Perform additional duties as assigned.

β€’ Manage projects and support specific tasks to guarantee adherence to federal and state certificate of authority and product filing requirements.

β€’ Collaborate with internal Oscar teams and engage with external regulators.

β€’ Report to the Manager, Risk Adjustment Retrospective.


⛳️ Requirements

β€’ A minimum of 2 years of licensing experience in the health plan or managed care sector.

β€’ At least 1 year of experience in designing and enhancing workflows.

β€’ A bachelor's degree or 4 years of equivalent experience.

β€’ Proven project management capabilities.

β€’ Knowledge of ACA marketplace plans, including relevant rules and regulations.

β€’ Over 1 year of experience with SERFF and/or network data analysis.


🏝️ Benefits

β€’ Comprehensive employee benefits.

β€’ Monthly vacation accrual at a rate of 15 days per year.

β€’ Medical benefits.

β€’ Dental benefits.

β€’ Vision benefits.

β€’ 11 paid holidays.

β€’ Paid sick time.

β€’ Paid parental leave.

β€’ Participation in a 401(k) plan.

β€’ Life insurance.

β€’ Disability insurance.

β€’ Paid wellness time and reimbursements.

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