Senior Director, Enterprise Compliance

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

📋 Description

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

• Convert enterprise compliance priorities into actionable plans; establish governance and ownership; allocate resources; cultivate compliance managers and team members; eliminate obstacles; and ensure accountability for measurable results.

• Predict regulatory and industry changes and counsel senior leaders on their implications for Oscar's products, market involvement, business strategy, and operational model.

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

• Supervise compliance investigations, hotline reporting, 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.

• Direct education, communication, and awareness initiatives that reinforce Oscar's culture of ethics and compliance.

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

• Facilitate interactions with regulators and external auditors.

• Adhere to all relevant laws and regulations.

• Carry out additional duties as assigned.

⛳️ Requirements

• Over 12 years of progressively responsible experience in healthcare compliance, regulatory affairs, legal compliance, audit, or enterprise risk management.

• More than 5 years of experience leading high-performing compliance teams and implementing enterprise-wide compliance initiatives.

• Proven track record in designing, executing, and sustaining an effective healthcare compliance program in alignment with OIG Compliance Program Guidance and relevant federal and state regulations.

• Experience working with highly regulated healthcare organizations, including health plans, managed care organizations, healthcare technology companies, provider organizations, or similar entities.

• Ability to anticipate regulatory changes and translate 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.

• Skilled in advising senior business leaders on complex regulatory and operational compliance matters and guiding their resolution.

• Excellent written and verbal communication abilities.

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

🏝️ Benefits

• Comprehensive employee benefits.

• Unlimited vacation program.

• Company equity grants.

• Annual performance bonuses.

• Medical benefits.

• Dental benefits.

• Vision benefits.

• 11 paid holidays.

• Paid sick leave.

• Paid parental leave.

• Participation in a 401(k) plan.

• Life insurance coverage.

• Disability insurance.

• Paid wellness time and reimbursements.