Associate Medical Director, Regulatory Management

Job overview

The Associate Medical Director, Regulatory Management role is fully remote for eligible U.S. residents, excluding Alaska, Delaware, Hawaii, Louisiana, Montana, North Dakota, Oklahoma, West Virginia, Wyoming, and U.S. territories; occasional travel is required. Base pay is $216,108–$283,642 per year. The role supports Oscar’s Clinical Affairs team and its focus on serving health plan members.

What you'll do

• Lead the Clinical Policy Compliance team and Clinical Coding Center of Excellence
• develop clinical regulatory policies, Benefit Interpretation Policies, and operational procedures
• chair credentialing, peer review, and population health management subcommittees
• oversee practitioner and facility credentialing
• partner with network and market management on provider onboarding
• improve clinical review operations and workflows
• monitor regulatory changes and translate them into operational updates.

What we're looking for

Skills & competencies

associate medical director

regulatory management

clinical affairs

remote

u.s. remote (eligible states)

oscar health

provider credentialing

clinical policy compliance

clinical coding

ncqa

cms

$216k–$284k/year

Work arrangement

• Weekend coverage required

Benefits & perks

• Medical, dental, and vision benefits
• 11 paid holidays
• paid sick time
• paid parental leave
• 401(k)
• life and disability insurance
• paid wellness time and reimbursements
• unlimited vacation program
• annual performance bonuses.

Why this role

Requires an MD or DO, an unrestricted medical license, and active board certification; Oscar supports obtaining additional state licensure. Benefits include medical, dental, and vision coverage, 11 paid holidays, paid sick time, paid parental leave, 401(k), life and disability insurance, paid wellness time and reimbursements, unlimited vacation program, and annual performance bonuses.

About the employer

Oscar Health is hiring for this role. Industry: Direct Health and Medical Insurance Carriers. Sector: 52.