Senior Director, Enterprise Compliance

The role

The Senior Director, Enterprise Compliance supports the execution and continuous improvement of the enterprise compliance program. This person provides leadership over regulatory compliance, investigations, monitoring, auditing, and policy governance.

What you will do

• Lead the execution and continuous improvement of Oscar's enterprise compliance program.
• Translate enterprise compliance priorities into a relevant operating plan.
• Anticipate regulatory and industry developments and advise senior leaders.
• Oversee compliance investigations, hotline reporting, the Special Investigations Unit, and fraud-prevention activities.
• Partner with leaders across Legal, Privacy, Security, Internal Audit, Enterprise Risk, Clinical, Product, Operations, and People teams.
• Set and uphold enterprise standards for ethics and compliance through education and awareness initiatives.
• Lead compliance reporting and engagement for executive leadership, Board committees, and regulatory examinations.
• Ensure compliance with all applicable laws and regulations.
• Other duties as assigned.

Required qualifications

• 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.
• Demonstrated 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.
• Track record of anticipating regulatory developments and translating them into enterprise priorities, operating plans, and business controls.
• Demonstrated 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.

Nice to have

• Experience supporting Marketplace and other applicable government or commercial health-plan products.
• Experience leading compliance in a technology-enabled, rapidly scaling, or operationally complex healthcare organization.
• Experience using data, technology, and automation to improve compliance monitoring, reporting, and program effectiveness.
• Healthcare compliance certification such as CHC, CHPC, CCEP, or comparable certification.
• JD, master's degree, or other relevant advanced education.

Benefits

• medical, dental, and vision benefits
• 11 paid holidays
• paid sick time
• paid parental leave
• 401(k) plan participation
• life and disability insurance
• paid wellness time and reimbursements
• unlimited vacation program
• company equity grants
• annual performance bonuses

About the company

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. They started in 2012 to create a health insurance company that behaves like a doctor in the family.