Oscar is an AI operations analyst that watches every location 24/7, catching revenue leaks, labor inefficiencies, and compliance risks, then delivering the alerts, reports, and action plans your team needs to fix them fast. Backed by Techstars.
About the role
Hi, we're Oscar. We're hiring an Associate Medical Director, Regulatory Management to join our Clinical Affairs team. Work Location: This position is fully remote and open to candidates residing in the U.S., excluding Alaska; Delaware; Hawaii; Louisiana; Montana; North Dakota; Oklahoma; West Virginia; Wyoming; and U.S. Territories. Daily work is completed from your home office, with occasional travel required for team meetings and company events. #LI-Remote
What they're looking for
- 7+ years of progressive healthcare experience, including leadership responsibility
- 3+ years experience managing provider credentialing within a health plan, managed care organization, or large healthcare system
- 3+ years knowledge of NCQA credentialing standards, CMS health plan regulatory requirements, and applicable federal and state regulations
- 1+ years experience managing and working with clinical coding taxonomies
- Demonstrated experience leading operational improvement initiatives and managing cross-functional partnerships
- Strong knowledge of provider data management, credentialing systems, and primary source verification processes
More about this role
Hi, we're Oscar. We're hiring an Associate Medical Director, Regulatory Management to join our Clinical Affairs team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.
Work Location: This position is fully remote and open to candidates residing in the U.S., excluding Alaska; Delaware; Hawaii; Louisiana; Montana; North Dakota; Oklahoma; West Virginia; Wyoming; and U.S. Territories. Daily work is completed from your home office, with occasional travel required for team meetings and company events. #LI-Remote
Pay Transparency: The base pay for this role is: $216,108 - $283,642 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
- Build and lead the Clinical Policy Compliance team and the Clinical Coding Center of Excellence, driving high-impact compliance, quality, and regulatory strategy across the organization.
- Direct the development of clinical regulatory policies,...
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