Oscar Health
Associate Director, Claims Compliance
$149K–$196K
New York, New York, United States · Director · Full-time · Posted Sep 9, 2026
- Experience
- 7+ years in claims operations and processing, insurance products, and regulatory and policy language; 5+ years in people management and team leadership.
- Education
- Bachelor's degree, or 4 years commensurate experience.
About the job
Leads claims compliance operations, including regulatory inquiries and exams, and improves processes and regulatory performance across teams.
What you'll do
- Lead analysts investigating regulatory inquiries and preparing external responses; coordinate claims research, adjustments, and regulatory work.
- Partner with regulators and internal teams to ensure compliant processes and resolve claims issues.
- Translate department strategy into plans, oversee team performance, and improve workflows and operational results.
What they ask for
- 7+ years of experience in claims operations and processing, insurance products, and regulatory and policy language.
- 5+ years of people management and team leadership experience, including prioritizing work and managing multiple projects.
- Proven experience collaborating with regulatory agencies and strong familiarity with regulatory requirements.
- Experience developing data-driven answers with imperfect information.
Nice to have
- Bachelor's degree, or 4 years commensurate experience.
- Experience with benefit and contract interpretation, claims across multiple product types, process improvement, or technical teams.
Pay
$149,040 - $195,615 per year (base salary)
Model-written summary · the original posting is authoritative