Senior Regulatory Analyst

Date PostedApril 30, 2026LocationRemote (Specific US States)CompanyOscar HealthSalary$67,813 - $89,004 per yearTypeSenior Level

Job Summary

The Senior Analyst, UM Regulatory Operations will support the design and implementation of operational processes to meet regulatory requirements and compliance standards. This role involves coordinating projects, supporting UM audits, and partnering with cross-functional teams to drive process improvements. The position is fully remote and requires experience in healthcare operations, audits, or compliance.

Responsibilities

  • Coordinate regulatory and compliance projects
  • Support NCQA, MHPAEA, and State audits
  • Partner with cross-functional teams for process improvement
  • Identify risks and resolve compliance gaps

Required Skills

  • 1+ years experience in healthcare compliance or audits
  • Knowledge of utilization management
  • Proficiency in Microsoft Office and Google Suite
  • Experience in interdepartmental project collaboration

Job Details

Role Overview: You will support the design, optimization, and implementation of processes and improvements to operations in support of achieving organizational goals. You will be responsible to support implementations for regulatory requirements, compliance initiatives, UM audits, and other projects, as needed. You will report into the Senior Manager, UM Regulatory Operations. Responsibilities: - 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: - 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. Bonus Qualifications: - 1+ years of experience supporting state audits and exams. - ACA marketplace, utilization management, healthcare quality and compliance, or provider data experience. - Training or experience applying Continuous Process Improvement or Lean Six Sigma principles. - Experience with project coordination or management in a matrixed organization. - 1+ years of experience in developing and presenting information and recommendations.