Associate Director, Claims Compliance

Oscar Health - Atlanta, GA

Hiring: Associate Director, Claims Compliance Company: Oscar Health Location: Atlanta, GA Job Posted Time: 2026-09-10 11:04:42 Employment Type: Contract / Remote Target Skills & Keywords : Medicare, Regulatory Compliance About the job Experience: •7+ years of demonstrated experience in claims operations and processing, insurance products, and regulatory and policy language. •5+ years of people management and team leadership experience with ability to prioritize, allocate work and manage across multiple high-value projects at once. •4 years commensurate experience. Required Skills: •Report into the Senior Director, Claims Quality and Compliance. •This is a remote position, open to candidates who reside in: Atlanta, Georgia. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. •The base pay for this role is:$134,136 - $176,053 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses •Direct and coordinate aspects of Oscar claims processes including but not limited to: research, adjustments, and regulatory inquiries. •Lead a team of claims analysts specializing in regulatory compliance, tasked with investigating regulatory inquiries and developing external responses. •Leverages industry background and knowledge of processes to influence others in sensitive complex situations while preserving relationships. Significantly influences departmental strategy by providing quantitative and qualitative inputs that drive organization success. •Translates the claims department's strategy into business plans and tactics in order to meet operational KPIs, targets and SLAs. •Creates necessary structure to achieve programmatic and departmental goals. Qualifications: •Proven background collaborating with regulatory agencies and strong familiarity with regulatory requirements. •Bachelor's degree, or 4 years commensurate experience. •Excellent leadership and communication skills to drive decision-making and results across multiple partners. •This is an authentic Oscar Health job opportunity. Compensation: •$134,136 - $176,053 / year •Flexible work environment (work from home / hybrid options) •Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!