Oscar Health: Associate Director, Claims Compliance — New York, New York, United States

About Oscar Health

Oscar Health is a health-insurance business built around a technology platform and member services. Its recruitment board also describes Oscar Medical Group activities in virtual health assessments and virtual care. Those notices reflect distinct parts of the wider operation: insurance products and member administration alongside clinical services. Technology, insurance operations and care delivery consequently appear in different roles on the board, with the employing team determining the service and professional responsibilities of an individual position.

The position and its setting

Oscar Health lists Associate Director, Claims Compliance in New York, New York, United States, under reference 8168091. The details below separate the work described by the employer from essential conditions, preferred experience and practical preparation advice.

• Department: Insurance Operations
• Employer listing date: 9 September 2026

Responsibilities and work described

• The Associate Director, Claims Compliance leads a team of analysts responsible for investigating and responding to regulatory inquiries, including market conduct exams
• The Associate Director transforms ideas from vision to implementation, with the goal of improving claims compliance and regulatory performance
• Report into the Senior Director, Claims Quality and Compliance
• Work: Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week
• Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid
• Pay Transparency: The base pay for this role is: $149,040 - $195,615 per year
• You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses
• Direct and coordinate aspects of Oscar claims processes including but not limited to: research, adjustments, and regulatory inquiries
• Leadership: a team of claims analysts specializing in regulatory compliance, tasked with investigating regulatory inquiries and developing external responses
• Leverages industry background and knowledge of processes to influence others in sensitive complex situations while preserving relationships
• Significantly influences departmental strategy by providing quantitative and qualitative inputs that drive organization success
• Translates the claims department's strategy into business plans and tactics
• Creates necessary structure to achieve programmatic and departmental goals
• Understands and uses business and industry knowledge to inform strategy and execution
• Supervise and train managers and employees as needed
• Collaboration: and communicate with other departments on claims issues, related projects and inter-departmental operations issues while developing effective, actionable solutions

Essential requirements and candidate background

• 7+ years of demonstrated experience in claims operations and processing, insurance products, and regulatory and policy language
• 5+ years of people management and team leadership experience with ability to prioritize, allocate work and manage across multiple high-value projects at once
• Background collaborating with regulatory agencies and familiarity with regulatory requirements
• Experience forming data-driven, concrete answers in a world with imperfect information

Education and qualification routes

• Degree / qualification: Bachelor's degree, or 4 years commensurate experience

Preferred experience and additional strengths

• Experience: benefit and contract interpretation or coding in professional/ institutional billing requirements
• Experience managing claims across multiple product types ( i.e.Medicare or Commercial)
• Experience analyzing and improving processes and workflows
• Experience working with technical teams (e.g. engineering and product) to communicate our requirements, design tooling, and support technical troubleshooting
• Leadership and communication skills to drive decision-making and results across multiple partners
• This is an authentic Oscar Health job opportunity
• Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience
• Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements
• Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts
• California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy

Location, schedule and contract conditions

For this overseas or regional listing, confirm work authorisation and any location restrictions with the employer. The location does not establish visa sponsorship or permission to work remotely from India.

• Oscar is the first health insurance company built around a full stack technology platform and a relentless 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
• Advertised location: New York, New York, United States

Conditions requiring the complete notice

Some passages contain complex or combined conditions that have not been reduced to short eligibility statements here. Read the complete linked notice for those passages, including any alternatives, exceptions or restrictions. The concise facts above should not be treated as the full wording of every condition.

Pay and application dates

A verified salary figure is not established in this article. An online estimate for another Associate Director, Claims Compliance vacancy is not an offer for reference 8168091; use the employer’s own pay disclosure and recruitment communication.

A closing date is not confirmed in this article. Check the current employer page before submitting: an undated posting can change or be withdrawn.

How to apply to Oscar Health

Applications follow the official employer page linked below.

Open the official Oscar Health posting below and match the title and reference 8168091.

Compare your qualifications and experience with the essential conditions for the New York, New York, United States position, then read the preferred criteria separately.

Prepare an accurate CV and the supporting items requested in that employer’s application. Provide only information and documents you are authorised to share.

Use the employer’s application option, complete the required fields and review the submission. Retain the acknowledgement when one is provided. Job Alerts World does not receive the application.

Practical preparation: AI

An AI-related example should make the task and evaluation explicit. Explain the inputs, the system’s intended output and how you checked errors, usefulness or reliability, rather than relying on the model name alone.

Relevant skills

• AI/ML
• AI
• audit
• compliance
• insurance
• communication
• business planning
• problem resolution
• billing