Associate, Auditor - remote

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

Oscar is the first health insurance company built around a full stack technology platform and a 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.

About the role

The Compliance Audit and Monitoring unit ensures that Oscar and its partners demonstrate their adherence to applicable laws, regulations, and rules – and that their own activities to ensure compliance are robust and validated. As an Associate Auditor, you will lead the efforts to conduct internal audits of the departments to ensure compliance with policies, operational procedures, and state/federal regulatory requirements. You will develop the annual audit work plan, leading audit assessments and monitoring activities of Oscar’s operations/business areas.

You will report to the Compliance Director.

This is a remote / work-from-home role. You must reside in one of the following states: Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Maryland, Massachusetts, Michigan, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, Tennessee, Texas, Utah, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $96,000 - $126,000 per year. The base pay for this role in all other locations is: $86,400 - $113,400 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program and annual performance bonuses.

Responsibilities

• Lead efforts to update approved procedures for the Compliance Audit and Monitoring team.
• Lead efforts to plan and maintain the audit schedule on an annual basis.   
• Build independent testing to conduct audits, annual  assessments for compliance with State and Federal contractual compliance (i.e., CMS, DOI) and accreditation standards (i.e., NCQA).
• Ensure audit assessments are conducted promptly and the necessary audit tools are developed with the appropriate regulatory and compliance indicators and used to oversee the business areas.     
• During the audit assessments, identify and assess main risks and controls associated with the operational area functions to ensure areas of noncompliance are identified and appropriate corrective actions are implemented and reporting activities for internal committees and regulatory agencies are communicated promptly.    
• Complete and document audit work papers observing Oscar’s Compliance Audit Policy and Procedures.
• Support programmatic efforts, and lead efforts within the context of individual audits, to ensure appropriate interface and coordination with other departments to achieve audit goals and ensure compliance.  
• Develop communication mechanisms at multiple levels internal and external to Oscar.  Prepare accurate and concise, and executive ready quarterly audit/quality reports for presentation to committees and subcommittees (i.e., Board of Directors, Corporate Compliance Committee)   
• Lead efforts to draft, update, and enforce approved policies and procedures for the Compliance Audit and Monitoring team.
• Support corrective action plans (CAPs) as a result of audit findings.

Qualifications

• 4+ years of experience in auditing, monitoring, compliance, oversight or healthcare with a focus in operational/business areas that is demonstrated through one or a combination of the following: work experience, training, education.
• Significant experience with CMS, ACO/ACA, commercial compliance requirements
• A completed Bachelor’s Degree in a related field or equivalent experience

Bonus Points

• Fluency with Federal & State DOI audit and/or reporting obligations
• Previous business consulting experience working with a professional services firm or similar role within an organization where there is the requirement to work collaboratively across multiple departmental areas.  
• Experience in a start-up and/or health tech environment

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. 

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..