Oscar Health
Associate Director, Claims Compliance
$134K–$176K
Atlanta, Georgia, United States +1 · Director · Full-time · Posted Sep 9, 2026
- Location
- Atlanta, Georgia, United States
New York, New York, United States - 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 analysts and oversees regulatory inquiries, examinations, and cross-functional work to improve claims compliance and regulatory performance.
What you'll do
- Lead a team investigating regulatory inquiries and preparing external responses; work with regulators on exams and investigations.
- Coordinate claims processes, develop plans and workflows, and translate department strategy into operational goals and targets.
- Collaborate with regulatory agencies and internal legal, audit, compliance, and operational teams to resolve claims issues.
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.
- 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 interpreting benefits and contracts or coding billing requirements.
- Experience managing claims across multiple product types, improving workflows, or working with technical teams.
Pay
$134,136 - $176,053 per year (base salary)
Model-written summary · the original posting is authoritative