Oscar Health
Associate Medical Director, Regulatory Management
$216K–$284K
Remote +1 · Remote · Director · Full-time · Posted Sep 15, 2026
- Location
- Remote
Florida, United States - Experience
- 7+ years of progressive healthcare experience, including leadership responsibility; 3+ years managing provider credentialing; 3+ years of relevant regulatory and NCQA knowledge; 1+ years managing and working with clinical coding taxonomies.
- Education
- MD or DO required.
- Visa sponsorship
- Oscar is open to candidates residing in the U.S., excluding Alaska, Delaware, Hawaii, Louisiana, Montana, North Dakota, Oklahoma, West Virginia, Wyoming, and U.S. Territories.
About the job
Provides strategic and operational leadership for clinical regulatory programs, provider credentialing, and compliance while improving provider onboarding and network quality.
What you'll do
- Lead clinical policy compliance and coding teams, developing policies and operational procedures aligned with healthcare regulations.
- Oversee practitioner and facility credentialing and chair credentialing, peer review, and population health management reviews.
- Partner across teams to improve provider onboarding, quality processes, and operational efficiency while maintaining compliance.
What they ask for
- 3+ years managing provider credentialing within a health plan, managed care organization, or large healthcare system.
- 3+ years’ knowledge of NCQA credentialing standards, CMS health plan regulatory requirements, and applicable federal and state regulations.
- 1+ years managing and working with clinical coding taxonomies; demonstrated operational improvement and cross-functional leadership experience.
- MD or DO with a current unrestricted medical license; active board certification must be maintained.
Nice to have
- Licensure in multiple Oscar states.
- Master’s degree or advanced certificate; prior utilization management experience.
Pay
USD 216,108 - 283,642 per year (base salary)
Tools
NCQA, CMS
AI focus
The job posting describes Oscar’s AI guidelines and recruiting use of AI, but does not specify AI work for this role.
Model-written summary · the original posting is authoritative