Associate Medical Director, Regulatory Management

Job overview

The Associate Medical Director, Regulatory Management is a fully remote role for U.S. residents, excluding Alaska, Delaware, Hawaii, Louisiana, Montana, North Dakota, Oklahoma, West Virginia, Wyoming, and U.S. territories. Base pay is $216,108–$283,642 per year. The role joins Oscar Health’s Clinical Affairs team; Oscar describes its mission as improving the health insurance experience for its members. The medical director leads clinical regulatory and credentialing operations to support a compliant provider network and member access. The role partners across clinical, quality, network, and compliance functions to improve processes while maintaining regulatory and credentialing standards.

What you'll do

• Lead the Clinical Policy Compliance team and Clinical Coding Center of Excellence
• develop clinical regulatory policies, benefit interpretation policies, and operating procedures
• chair credentialing, peer review, and population health subcommittees
• oversee practitioner and facility credentialing
• partner with network and market leaders on provider onboarding
• improve clinical review quality processes and audits
• resolve operational bottlenecks
• monitor healthcare regulations and translate changes into operational updates.

What we're looking for

Skills & competencies

associate medical director

regulatory management

remote

oscar health

clinical affairs

provider credentialing

clinical policy compliance

healthcare regulations

ncqa

cms

$216,108–$283,642/year

md or do required

Work arrangement

• Weekend coverage required

Benefits & perks

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

Why this role

Fully remote within the listed eligible U.S. locations; occasional travel for team meetings and company events is required.

About the employer

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