Operations Manager, Insurance Controls (Remote)

Oscar Health

Philadelphia Pennsylvania

United States

Customer Service / Call Center
(No Timezone Provided)

Hi, we're Oscar. We're hiring a Controls Manager to join our Insurance Operations 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

You will manage regulatory compliance within our operational control framework which includes Sarbanes Oxley (SOX), Model Audit Rule (MAR) and Service Organization Controls Report (SOC1) requirements. You will coordinate regulatory audit requests and updates to regulatory procedures to ensure we manage insurance controls, improve operational processes, and meet regulatory requirements across the full scope of Insurance Operations.

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

Responsibilities

  • Manage development of clear, scalable and dynamic operational processes which support regulatory and audit requirements.
  • Monitor processes to ensure compliance with control frameworks and adherence to regulatory requirements across Insurance Operations
  • Assist process owners in gathering evidence of control reviews and uploading documentation to relevant platforms
  • Work with process owners to implement corrective action plans identified in internal control breakdowns
  • Use internal tools and technical processes to complete database queries and dashboard creation
  • Understand relevant policies and workflows and assist Insurance Operations with creating and updating regulatory procedures to align with new or changed regulatory requirements
  • Manage relationships with relevant partners as a representative of Insurance Operations
  • Work with the corporate compliance department during regulatory audits to understand the regulatory data requests and coordinate the gathering of the required information from across the Insurance Operations organization
  • Provide leadership, while coaching, providing feedback, and mentoring the team members
  • Qualifications

  • 5+ years of professional experience in audit, strategy, operations, and health insurance or consulting
  • Experience supporting process improvement, assessing and enhancing internal controls, documenting procedures and workflow building
  • Experience managing projects
  • Experience with SOX, MAR and SOC1 assessments and control frameworks
  • Advanced Excel skills (can write advanced macros)
  • Bonus Points

  • Bachelor's degree or equivalent work experience
  • Working knowledge of database languages (SQL).
  • Life at Oscar: 

    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.

    We aim to make health care affordable and accessible for all, and apply this same vision to our perks and benefits, including: medical benefits, generous paid-time off, paid parental leave, retirement plans, company social events, stocked kitchens, wellness programs, and volunteer opportunities.

    Operations Manager, Insurance Controls (Remote)

    Oscar Health

    Philadelphia Pennsylvania

    United States

    Customer Service / Call Center

    (No Timezone Provided)

    Hi, we're Oscar. We're hiring a Controls Manager to join our Insurance Operations 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

    You will manage regulatory compliance within our operational control framework which includes Sarbanes Oxley (SOX), Model Audit Rule (MAR) and Service Organization Controls Report (SOC1) requirements. You will coordinate regulatory audit requests and updates to regulatory procedures to ensure we manage insurance controls, improve operational processes, and meet regulatory requirements across the full scope of Insurance Operations.

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

    Responsibilities

  • Manage development of clear, scalable and dynamic operational processes which support regulatory and audit requirements.
  • Monitor processes to ensure compliance with control frameworks and adherence to regulatory requirements across Insurance Operations
  • Assist process owners in gathering evidence of control reviews and uploading documentation to relevant platforms
  • Work with process owners to implement corrective action plans identified in internal control breakdowns
  • Use internal tools and technical processes to complete database queries and dashboard creation
  • Understand relevant policies and workflows and assist Insurance Operations with creating and updating regulatory procedures to align with new or changed regulatory requirements
  • Manage relationships with relevant partners as a representative of Insurance Operations
  • Work with the corporate compliance department during regulatory audits to understand the regulatory data requests and coordinate the gathering of the required information from across the Insurance Operations organization
  • Provide leadership, while coaching, providing feedback, and mentoring the team members
  • Qualifications

  • 5+ years of professional experience in audit, strategy, operations, and health insurance or consulting
  • Experience supporting process improvement, assessing and enhancing internal controls, documenting procedures and workflow building
  • Experience managing projects
  • Experience with SOX, MAR and SOC1 assessments and control frameworks
  • Advanced Excel skills (can write advanced macros)
  • Bonus Points

  • Bachelor's degree or equivalent work experience
  • Working knowledge of database languages (SQL).
  • Life at Oscar: 

    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.

    We aim to make health care affordable and accessible for all, and apply this same vision to our perks and benefits, including: medical benefits, generous paid-time off, paid parental leave, retirement plans, company social events, stocked kitchens, wellness programs, and volunteer opportunities.