Medical Director, Clinical Regulatory Affairs
Oscar
full-time
Posted on:
Location Type: Hybrid
Location: Arizona • Florida • United States
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Salary
💰 $218,592 - $286,902 per year
Job Level
About the role
- Lead and grow the Clinical Policy & Regulatory Affairs team.
- Build and manage processes that ensure clinical policy compliance and quality.
- Develop and maintain BIPs, SOPs, and other clinical policy documents aligned with QMS.
- Serve as a regulatory compliance expert and maintain strong relationships with key clinical teams.
- Deliver executive briefings on regulatory and policy impacts.
- Advise the CMO and senior leaders on compliance risks and strategy.
- Support interactions with federal and state regulators (FDA, CMS, state DOI).
- Oversee the Clinical Coding Center of Excellence and clinical credentialing.
- Promote a culture of compliance through training and education.
- Collaborate effectively with stakeholders across the organization.
Requirements
- Active, unrestricted MD or DO license
- 10+ years of experience in healthcare or the health insurance industry
- 5+ years of experience in clinical policy compliance or clinical regulatory/government affairs
- 5+ years applying state and federal health insurance laws and regulations (Marketplace, MA, reporting, and audit requirements)
- 5+ years preparing and presenting reports to boards of directors
- 5+ years of team leadership and people development experience
Benefits
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Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
clinical policy complianceregulatory complianceclinical policy documentsBIPsSOPsQMSclinical codingcredentialinghealth insurance lawsreport preparation
Soft Skills
leadershipteam developmentcommunicationcollaborationrelationship managementadvisory skillstrainingeducation promotionstrategic thinkingexecutive briefing
Certifications
MD licenseDO license