Associate Medical Director, Regulatory Management
Compensation
$216k – $284k /yr
Employment type
Full-time
Work setting
On-site
Location
Cleveland, OH
Schedule
Day shift
Posted
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Job overview
The Associate Medical Director, Regulatory Management role is 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. The base pay is $216,108–$283,642 per year. The role joins Oscar’s Clinical Affairs team, supporting its health plan and member-focused mission. The position leads clinical regulatory programs and credentialing operations, translating regulatory requirements into policy and process improvements that support a compliant provider network, efficient onboarding, and member access.
What you'll do
- Lead the Clinical Policy Compliance team and Clinical Coding Center of Excellence
- develop clinical regulatory policies, benefit interpretation policies, and SOPs
- chair credentialing, peer review, and population health subcommittees
- oversee practitioner and facility credentialing
- partner on provider onboarding and network gaps
- improve clinical review operations, audits, and workflows
- monitor regulatory developments and implement operational updates.
What we're looking for
- Skills & competencies
- associate medical directorregulatory managementremoteoscar healthclinical affairsprovider credentialingclinical policyncqacmshealthcare compliance$216,108–$283,642 per yearannual performance bonusunlimited vacationmedical dental vision
- Work arrangement
- Weekend coverage required
Benefits & perks
- Medical, dental, and vision
- 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.
Why this role
Requires an MD or DO with current unrestricted medical license and active board certification; requires progressive healthcare leadership and provider credentialing experience, plus knowledge of NCQA and CMS requirements.
About the employer
Oscar Health is hiring for this role. Industry: Direct Health and Medical Insurance Carriers. Sector: 52.
Additional details
- Industry sector
- 52
- Industry
- Direct Health and Medical Insurance Carriers
- Occupation code
- 11-9111.00
You'll be redirected to the employer's application page.
Listing ID: 8e997ae1-7a0d-444f-8b0d-c1ba33256b04