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Associate Medical Director, Regulatory Management

Oscar Health · Chicago, IL · Clinical Affairs

Compensation

$216k – $284k /yr

Employment type

Full-time

Work setting

On-site

Location

Chicago, IL

Schedule

Day shift

Posted

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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. The stated base pay is $216,108–$283,642 per year. The role joins Oscar Health’s Clinical Affairs team, supporting compliant provider networks and member access. The physician leader directs clinical regulatory programs and credentialing operations, translating regulatory requirements into policies and operational improvements. The role partners with Quality, Network Management, and Compliance to strengthen provider onboarding, credentialing integrity, and clinical quality processes.

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 subcommittee
  • oversee practitioner and facility credentialing
  • partner on provider onboarding and network gaps
  • improve clinical review operations and quality workflows
  • monitor regulatory changes and implement operational updates.

What we're looking for

Skills & competencies
associate medical director
regulatory management
remote
oscar health
clinical affairs
provider credentialing
clinical policy compliance
ncqa
cms
quality improvement
md or do
board certification
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 role with occasional travel; requires an MD or DO, unrestricted medical license, and active board certification.

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
29-1215.00
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