Senior Analyst, UM Regulatory Operations

Oscar

. Support the design, optimization, and implementation of processes and improvements to operations in support of achieving organizational goals .

Posted 4/21/2026full-timeRemote • Illinois, Kentucky, Minnesota, Pennsylvania, Texas, Utah • 🇺🇸 United StatesSenior💰 $67,813 - $89,004 per yearWebsite

About the role

Key responsibilities & impact

Support the design, optimization, and implementation of processes and improvements to operations in support of achieving organizational goals
Responsible to support implementations for regulatory requirements, compliance initiatives, UM audits, and other projects
Coordinate projects and processes to help support key regulatory and compliance milestones and deliverables
Partner with leadership to implement regulations, support key state filings, and other projects
Partner with cross-functional teams to ensure action plans and process improvements align with project goals, and participate in collaboration with peers and cross-functional stakeholders
Support audit exams (NCQA, MHPAEA, State)
Help identify risks; respond to and resolve compliance gaps through regulatory implementation and in response to audits and Corrective Action Plans
Compliance with all applicable laws and regulations
Other duties as assigned

Requirements

What you’ll need

1+ years of experience in healthcare audits, or accreditations supporting NCQA and/or regulatory compliance
1+ years of professional experience in utilization management, healthcare operations and/or compliance, or a related field
1+ years of experience in Adobe Acrobat, and Google Suite or Microsoft Office (Sheets/Excel, Docs/Word, Slides/Powerpoint, etc)
1+ years of experience with interdepartmental collaboration with stakeholders to drive projects

Benefits

Comp & perks

Health insurance
Dental benefits
Vision benefits
11 paid holidays
Paid sick time
Paid parental leave
401(k) plan participation
Life and disability insurance
Paid wellness time and reimbursements
Participation in Oscar's unlimited vacation program
Annual performance bonuses

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

healthcare auditsregulatory complianceutilization managementprocess optimizationproject coordinationrisk identificationcompliance gap resolutionCorrective Action Plans

Soft Skills

interdepartmental collaborationstakeholder engagementcommunicationproblem-solving

Certifications

NCQA accreditation