Manager, Regulatory Reporting

• Ensure compliance with healthcare regulations, including HIPAA, Medicare, Affordable Care Act (ACA), and Medicaid.
• Lead the regulatory reporting team, providing guidance, direction, and mentorship to ensure successful implementation and timely execution of regulatory reporting submissions
• Coordinate and respond to data submission requests for internal and external audits
• Develop dashboards and inventory processing method to ensure accuracy of regulatory reporting inventory
• Collaborate with internal business leaders to improve end-to-end reporting process
• Direct teams to meet submission timelines
• Review technical documents for accuracy and quality
• Proactive problem-solving and risk mitigation
• Develop relationships with departmental leaders to understand business operations, identify areas of risk, and provide guidance on internal control design and implementation.
• Provide regular updates to executive management and the Board of Directors including, but not limited to, developing and delivering reports, presentations, and memoranda.
• Provide training, education, and communication to the enterprise regarding compliance topics and industry best practices.
• Ensure that all teams are aware of, and complying with, the procedures to follow compliance requirements.
• Delegate tasks and responsibilities effectively to departmental leads to ensure timely compliance actions.
• Develop and implement compliance improvement plans where required.
• Compliance with all applicable laws and regulations
• Other duties as assigned

• Bachelor's degree or commensurate work experience
• 5+ years payer experience
• 3+ years in leading direct reports and teams
• 3+ years experience working in health care or related field with Policies & Procedures
• 3+ years driving compliance with regulatory and accreditation audit/policy requirements
• 3+ years experience working with regulations and translating into operational procedures
• 3+ years experience managing several critical, external facing, deliverables simultaneously
• 3+ years experience / background in a fast-paced operations environment
• 3+ years experience in implementation, program building, and maintenance

• Certification in Healthcare Compliance (CHC), Certified Compliance and Ethics Professional (CCEP), or similar
• Fluency with State Department of Insurance (DOI) audit and/or reporting obligations
• State DOI audit management experience
• Experience in a start-up and/or health tech environment
• Experience in a Third Party Administrator (TPA) setting

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At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.