---
title: 'Associate Director, Claims Compliance at Oscar Health'
canonical: 'https://feeny.ai/job/associate-director-claims-compliance-oscar-health-dallas-texas-3wyac1gdrw0t'
type: 'job'
last_seen: '2026-09-10'
---

# Associate Director, Claims Compliance at Oscar Health

- **Company:** Oscar Health
- **Location:** Dallas Texas, United States
- **Posted:** 2026-09-09
- **Last confirmed live:** 2026-09-10
- **Apply:** http://www.hioscar.com/careers/8188874?gh_jid=8188874

## Job description

Hi, we're Oscar. We're hiring a Claims Compliance Associate Director to join our Claims team.

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.

About the role:

The Associate Director, Claims Compliance leads a team of analysts responsible for investigating and responding to regulatory inquiries, including market conduct exams. This role is responsible for ensuring adherence to state and federal regulations, working directly with regulators on exams and investigations, and partnering across Insurance Operations and cross-functionally to ensure processes and workflows are in place to strengthen claims compliance. The Associate Director transforms ideas from vision to implementation, with the goal of improving claims compliance and regulatory performance.

You will report into the Senior Director, Claims Quality and Compliance.

Work Location: This is a remote position, open to candidates who reside in: Dallas, Texas. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote

Pay Transparency: The base pay for this role is:$134,136 - $176,053 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses

Responsibilities:

- Direct and coordinate aspects of Oscar claims processes including but not limited to: research, adjustments, and regulatory inquiries.
- Lead 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 in order to meet operational KPIs, targets and SLAs.
- 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.
- Collaborate and communicate with other departments on claims issues, related projects and inter-departmental operations issues while developing effective, actionable solutions.
- Effectively manage processes and inter departmental initiatives through a collaborative approach to ensure timely results or issue resolution.
- Work cross collaboratively with various regulatory agencies, as well as Oscar's legal, audit, and regulatory compliance teams.
- Compliance with all applicable laws and regulations.
- Other duties as assigned.

Requirements:

- 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.
- Proven background collaborating with regulatory agencies and strong familiarity with regulatory requirements.
- Experience forming data-driven, concrete answers in a world with imperfect information.

Bonus points:

- Bachelor's degree, or 4 years commensurate experience.
- Experience with 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.
- Excellent leadership and communication skills to drive decision-making and results across multiple partners.

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud[here](http://hioscar.com/careers/recruitment-fraud-alert).

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.

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](http://hioscar.com/careers/ai-guidelines) outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

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 (accommodations@hioscar.com) to make the need for an accommodation known.

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](https://www.hioscar.com/legal/privacy/).

## About Oscar Health

## Company Overview
- **One-liner**: Oscar Health is a healthcare technology company that builds a full-stack health insurance platform to make high-quality, affordable healthcare accessible for individuals, families, and employers.
- **Entity Type**: Public (NYSE: OSCR)
- **Headquarters**: New York City, USA (TriBeCa)
- **Founded**: 2012
- **Founders**: Mario Schlosser (CTO & Co-Founder); additional co-founders are not publicly detailed in the provided sources.

## Core Business
- **Primary industry**: Health insurance / healthcare technology
- **Target customers**: B2C (individuals, families, Medicare beneficiaries) and B2B (employers through Small Group plans and ICHRA)
- **Mission**: “Make a healthier life accessible and affordable for all.”

## Products & Services
- **Oscar Individual & Family Plans** – Health insurance sold on- and off-exchange, featuring $0 virtual urgent care, $3 generic medications, and dedicated Care Teams.
- **Medicare Advantage** – Medicare health plans launched in 2020, available in select states.
- **Oscar for Employers (Small Group / ICHRA)** – Employer-sponsored health benefits, including Individual Coverage Health Reimbursement Arrangements (ICHRA).
- **Oscar Provider Platform** – A technology platform that connects providers with Oscar’s member engagement tools.
- **Oscar App & Care Router** – Digital engagement platform that routes members to appropriate care (virtual or in-person) and enables 24/7 communication with a Care Team.

## Market Standing
- **Valuation/Market Cap**: Not directly provided in the search results; as a public company, market cap is available via SEC filings (e.g., ~$6B as of recent market data, but not confirmed in these sources).
- **Key Metric**: Serves approximately 1.6 million members as of August 2024 (the company also reports a figure of ~3.2 million members, possibly including additional plan types or a different measurement).
- **Notable Investors/Partners**: Not specified in the provided search results; the company went public in 2021 and counts major venture firms among its early investors.
- **Growth Signals**: Active in 20 states; member base grew from 1 million in 2022 to over 1.6 million; launched Medicare Advantage in 2020; has 238 active job postings as of the search date, indicating expansion.

## Competitive Advantages
- **Full-stack technology platform** – Oscar owns the entire insurance stack (claims, care management, provider network), enabling data-driven personalization and member engagement.
- **High member trust and engagement** – 68% of members trust Oscar for care guidance; 44% are digitally engaged; Net Promoter Score of 66; 76% have interacted with digital or Care Team channels.
- **Care Team model** – Every member is assigned a dedicated Care Team that coordinates care, reduces costs, and improves outcomes.
- **Virtual care integration** – $0 virtual urgent care with 97% member satisfaction; virtual primary care in some markets.

## Strategic Focus
- **Geographic expansion** – Entering new states and markets, including Medicare Advantage.
- **AI and technology** – Actively investing in AI to improve care routing, cost savings, and member experience (see “AI @ Oscar” page).
- **Provider platform growth** – Scaling the Oscar Provider Platform to partner with independent providers and health systems.
- **Employer market** – Expanding ICHRA and Small Group offerings to reach more businesses.

## Why Work Here
- **Mission-driven culture** – “Change healthcare for good” with a focus on making insurance simple, transparent, and human. Values include transparency, grit, scientific thinking, and “members above all.”
- **Comprehensive benefits** – Health insurance (obviously), 10+ weeks of parental leave, wellness days, fitness classes, mental health support, 401(k) plan, HSAs, and learning & development programs.
- **Offices** – Headquarters in New York City (TriBeCa), plus offices in Los Angeles (Silicon Beach) and Tempe, Arizona (Health Hub). Remote/hybrid policy not explicitly stated, but many roles appear location-flexible.
- **Growth opportunity** – With 238 open positions and recent member growth, employees can work on challenging problems at scale.
- **Diverse and inclusive environment** – Publishes a diversity report and emphasizes belonging; employees describe culture as collaborative and high-impact.

## Sources
1. [hioscar.com/about](https://www.hioscar.com/about)
2. [hioscar.com/careers](https://www.hioscar.com/careers)
3. [hioscar.com/careers/life](https://www.hioscar.com/careers/life)
4. [linkedin.com/company/oscar-health](https://www.linkedin.com/company/oscar-health)
5. [hioscar.com](https://www.hioscar.com/)

## Other roles at Oscar Health

- [Associate Director, Claims Compliance](https://feeny.ai/job/associate-director-claims-compliance-oscar-health-atlanta-georgia-cgg241nv9agy) — Atlanta Georgia, United States
- [Associate Director, Claims Compliance](https://feeny.ai/job/associate-director-claims-compliance-oscar-health-tempe-arizona-kpqwakf827ev) — Tempe Arizona, United States
- [Associate Director, Claims Compliance](https://feeny.ai/job/associate-director-claims-compliance-oscar-health-new-york-new-york-tjdsjzsjwe84) — New York New York, United States
- [COB Specialist, Payment Integrity](https://feeny.ai/job/cob-specialist-payment-integrity-oscar-health-remote-5pf81bv9yst2)
- [Manager, Data Mining - Payment Integrity](https://feeny.ai/job/manager-data-mining-payment-integrity-oscar-health-tempe-arizona-zjp32n62hdks) — Tempe Arizona, United States
- [Manager, Data Mining - Payment Integrity](https://feeny.ai/job/manager-data-mining-payment-integrity-oscar-health-new-york-new-york-bh51f7jm9vpx) — New York New York, United States
- [Manager, Data Mining - Payment Integrity](https://feeny.ai/job/manager-data-mining-payment-integrity-oscar-health-remote-c4k675b46v0p)
- [COB Verification Specialist](https://feeny.ai/job/cob-verification-specialist-oscar-health-remote-rcwczp0fbfn4)
- [Executive & Social Media Escalations Expert](https://feeny.ai/job/executive-social-media-escalations-expert-oscar-health-miami-florida-2994mb89c3mt) — Miami Florida, United States
- [Executive & Social Media Escalations Expert](https://feeny.ai/job/executive-social-media-escalations-expert-oscar-health-atlanta-georgia-enpt6efbqctg) — Atlanta Georgia, United States