Associate Director, Claims ComplianceNew$149K–$196K

The opportunity

Hi, we're Oscar. We're hiring a Claims Compliance Associate Director to join our Claims team.

What you'll do

  • Direct and coordinate aspects of Oscar claims processes including but not: limited to: research, adjustments, and regulatory inquiries.

  • Lead a team of claims analysts specializing in regulatory compliance, tasked: with investigating regulatory inquiries and developing external responses.

  • Leverages industry background and knowledge of processes to influence others: in sensitive complex situations while preserving relationships. Significantly influences departmental strategy by providing quantitative and qualitative inputs that drive organization success.

  • Translates the claims department's strategy into business plans and tactics: in order to meet operational KPIs, targets and SLAs.

  • Creates necessary structure to achieve programmatic and departmental goals.

  • Understands and uses business and industry knowledge to inform strategy and execution.

What they're looking for

  • Supervise and train managers and employees as needed.
  • Collaborate and communicate with other departments on claims issues, related: projects and inter-departmental operations issues while developing effective, actionable solutions.
  • Effectively manage processes and inter departmental initiatives through a: collaborative approach to ensure timely results or issue resolution.
  • Work cross collaboratively with various regulatory agencies, as well as: Oscar's legal, audit, and regulatory compliance teams.