Senior Director, Enterprise Compliance

🔥 1 hour ago

🇺🇸 United States – Remote

💵 $196.7k - $258.2k / year

⏰ Full Time

🟠 Senior

🚔 Compliance

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This company has sponsored H1B visas in the past.

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Oscar Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2012

⚕️ Healthcare Insurance

🏥 Healthcare

💰 $355M Post-IPO Debt - Oscar Health on 2025-09

Healthcare Insurance • Healthcare

Oscar Health is a technology-driven health insurance company that provides individual, family, and small-group health plans in multiple U. S. states. Oscar combines traditional insurance underwriting with digital-first services — a consumer-facing app, 24/7 virtual urgent care, prescription delivery (including $3 meds in many plans), and dedicated Care Teams — and also operates Oscar Primary Care in some markets. The company emphasizes accessible, affordable, high-quality care and uses AI to improve member experience and care delivery. Insurance policies are underwritten by Oscar's state insurance subsidiaries and the company offers both HMO and other plan types across its markets.

📋 Description

• Lead the execution and continuous improvement of Oscar's enterprise compliance program, including the multi-year compliance strategy, annual compliance work plans, risk assessments, policy governance, regulatory change management/implementation, monitoring, auditing, and reporting activities • Translate enterprise compliance priorities into an operating plan; establish ownership and governance; allocate resources; develop compliance managers and team members; remove barriers; and lead accountability for measurable outcomes • Anticipate regulatory and industry developments and advise senior leaders on their effects for Oscar's products, market participation, business strategy, and operating model • Provide guidance on federal and state healthcare regulations, contractual obligations, and emerging regulatory risks across applicable lines of business • Oversee compliance investigations, hotline reporting, the Special Investigations Unit, fraud-prevention activities, corrective action plans, and remediation efforts • Partner with Legal, Privacy, Security, Internal Audit, Enterprise Risk, Clinical, Product, Operations, and People teams • Lead education, communications, and awareness initiatives that strengthen Oscar's culture of ethics and compliance • Lead compliance reporting and engagement for executive leadership, Compliance Committee, Board committees, and regulatory examinations • Support interactions with regulators and external auditors • Comply with all applicable laws and regulations • Perform other duties as assigned

🎯 Requirements

• 12+ years of progressively responsible experience in healthcare compliance, regulatory affairs, legal compliance, audit, or enterprise risk management • 5+ years leading high-performing compliance teams and enterprise-wide compliance initiatives • Experience designing, implementing, and maintaining an effective healthcare compliance program aligned with OIG Compliance Program Guidance and applicable federal and state regulations • Experience supporting highly regulated healthcare organizations, including health plans, managed care organizations, healthcare technology companies, provider organizations, or related entities • Experience anticipating regulatory developments and translating them into enterprise priorities, operating plans, and business controls • Experience leading complex compliance investigations, monitoring and auditing activities, regulatory risk assessments, corrective action planning, and policy governance • Experience advising senior business leaders on complex regulatory and operational compliance issues and leading their resolution • Strong written and verbal communication skills • Experience presenting to executive leadership, governance committees, regulators, or external auditors

🏖️ Benefits

• Employee benefits • Unlimited vacation program • Company equity grants • Annual performance bonuses • Medical benefits • Dental benefits • Vision benefits • 11 paid holidays • Paid sick time • Paid parental leave • 401(k) plan participation • Life insurance • Disability insurance • Paid wellness time and reimbursements

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