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.
Senior Analyst, Regulatory Affairs at Oscar Health | Role Match