Senior Operations Manager, Insurance Controls

Job Description

Hi, we're Oscar. We're hiring a Senior Manager to join our Insurance Operations team.

Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role

The Senior Operations Manager, Insurance Controls position will manage regulatory compliance within our operational control framework which includes Sarbanes Oxley (SOX), Model Audit Rule (MAR) and Service Organization Controls Report (SOC1) requirements to ensure Oscar manage insurance controls across business segments and improve operational processes across the full scope of Insurance Operations.

You will report to the SVP, Operations. This is a remote / work-from-home role. You must reside in one of the following states: Arizona, California, Connecticut, Florida, Georgia, Illinois, Maryland, Massachusetts, Michigan, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, Tennessee, Texas, Utah, Virginia, or Washington. Note, this list of states is subject to change. #LI-Remote

Responsibilities

• Lead the annual walkthrough process with controls owners and external auditors to ensure documentation reflects current business processes.
• Communicate testing results to management and agree to corrective actions.
• Manage development of clear, scalable and dynamic operational processes which support regulatory and audit requirements.
• Monitor processes to ensure compliance with control frameworks and adherence to regulatory requirements across Insurance Operations
• Create project schedules and framework for controls; coordinate documentation requests from external auditors for timely upload to relevant platforms
• Assist control and process owners with updates to narratives, flowcharts and control descriptions and update risk and control matrices, test plans and test results
• Work with process owners to implement corrective action plans identified in internal control breakdowns within a timely manner.
• Use internal tools and technical processes to accomplish database queries
• Manage relationships with relevant partners as a representative of Insurance Operations
• Provide direction, while coaching, providing feedback, and mentoring the team members, including detailed review of work papers and reports

Qualifications

• 6+ years of professional experience in audit, strategy, operations, or health insurance or consulting
• Experience supporting process improvement, assessing and enhancing internal controls, documenting procedures, workflow building projects with short deadlines
• Prior experience with SOX, MAR and SOC1 assessments and control frameworks
• Advanced Excel skills (can write advanced macros)
• Experience leading a team
• Participated in a complex SOX, MAR, or large internal control implementation project.

Bonus Points

• Bachelor's degree or 6+ years of equivalent work experience
• Working knowledge of database languages (SQL)

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here .

Life at Oscar:

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

We aim to make health care affordable and accessible for all, and apply this same vision to our perks and benefits, including: medical benefits, generous paid-time off, paid parental leave, retirement plans, company social events, stocked kitchens, wellness programs, and volunteer opportunities.

Reasonable Accommodation:

Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team ([email protected]) to make the need for an accommodation known.

To protect the health and safety of our employees, we require any employee conducting in-person work* to be fully vaccinated against COVID-19 by their start date. If you are unable to be vaccinated due to medical or protected religious reasons, please reach out to our Benefits team at [email protected] to submit an accommodations request.

*Note: In-person work includes: employees required to work from our offices, employees conducting sales work in the field and employees conducting at-home or in-person visits with members.