Senior Analyst, Regulatory AffairsActive$79K–$104K
The opportunity
Hi, we're Oscar. We're hiring an Senior Analyst, Regulatory Affairs to join our Regulatory Affairs.
What you'll do
Serve as the subject matter expert on assigned state and federal policy for: provider dispute and IDR legislative matters, while applying newly proposed and effective laws and regulations to processes as appropriate in assigned jurisdictions.
With support from team leads, prepare clear, concise, user friendly briefing based upon case needs.
Deliver multiple, simultaneous and diverse assignments while adhering to: strict deadlines and managing competing priorities in a fast-paced environment.
Serve as a point of contact for provider negotiations relating to IDR.
Perform eligibility reviews of disputed claims to ensure all cases are routed to the appropriate venue
Manage the end-to-end administrative lifecycle of each dispute by maintaining: real-time updates on project management boards, gathering and redacting member documentation, and uploading supporting evidence to the appropriate portal stages within set regulatory deadlines
What they're looking for
- Independently manage workload and related dependencies in compliance with required regulatory timelines
- Compliance with all applicable laws and regulations
- Other duties as assigned
- Bachelor’s degree in the humanities, legal studies, political science, public: policy, public administration, public health or other relevant field or a combination of education and experience.