Senior Director, Enterprise Compliance

This is a fully remote position, open to applicants in Texas.

📋 Description

• Spearhead the execution and ongoing enhancement of Oscar's enterprise compliance program, which includes a multi-year compliance strategy, annual compliance work plans, risk assessments, policy governance, regulatory change management/implementation, monitoring, auditing, and reporting activities.

• Transform enterprise compliance priorities into a functional operating plan; establish ownership and governance; allocate resources; cultivate compliance managers and team members; eliminate obstacles; and drive accountability for quantifiable outcomes.

• Anticipate regulatory and industry changes and provide counsel to senior leaders regarding their potential impacts on Oscar's products, market engagement, business strategy, and operational framework.

• Offer guidance on federal and state healthcare regulations, contractual commitments, and emerging regulatory risks across relevant business segments.

• Oversee compliance investigations, hotline reports, the Special Investigations Unit, fraud prevention initiatives, corrective action plans, and remediation efforts.

• Collaborate with Legal, Privacy, Security, Internal Audit, Enterprise Risk, Clinical, Product, Operations, and People teams.

• Drive education, communication, and awareness initiatives that reinforce Oscar's ethical and compliance-oriented culture.

• Manage compliance reporting and engagement for executive leadership, the Compliance Committee, Board committees, and regulatory audits.

• Facilitate interactions with regulators and external auditors.

• Adhere to all applicable laws and regulations.

• Execute additional duties as assigned.

⛳️ Requirements

• A minimum of 12 years of progressively responsible experience in healthcare compliance, regulatory affairs, legal compliance, auditing, or enterprise risk management.

• At least 5 years of experience leading high-performing compliance teams and enterprise-wide compliance initiatives.

• Proven experience in designing, implementing, and sustaining an effective healthcare compliance program aligned with OIG Compliance Program Guidance and relevant federal and state regulations.

• Experience in supporting highly regulated healthcare organizations, including health plans, managed care organizations, healthcare technology firms, provider organizations, or similar entities.

• A history of foreseeing regulatory changes and translating them into enterprise priorities, operational plans, and business controls.

• Experience in leading intricate compliance investigations, monitoring and auditing activities, regulatory risk assessments, corrective action planning, and policy governance.

• Experience in advising senior business leaders on complex regulatory and operational compliance challenges and directing their resolution.

• Exceptional written and verbal communication skills.

• Experience presenting to executive leadership, governance committees, regulators, or external auditors.

🏝️ Benefits

• Employee benefits.

• Unlimited vacation program.

• Company equity grants.

• Annual performance bonuses.

• Medical benefits.

• Dental benefits.

• Vision benefits.

• 11 paid holidays.

• Paid sick time.

• Paid parental leave.

• 401(k) plan participation.

• Life insurance.

• Disability insurance.

• Paid wellness time and reimbursements.