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Manager, Insurance Product and Benefit Design

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🕒 May 27

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Logo of Oscar

Oscar

51 - 200 employees

đŸ’Œ Consulting

đŸ—ïž Construction

đŸ„ Healthcare

💰 $140M Private Equity Round on 2020-12

Consulting ‱ Construction ‱ Healthcare

Oscar is a world-class specialist STEM recruitment agency that provides industry-leading talent solutions. The company operates across six brands, connecting top talent with companies in various sectors including technology, construction, life sciences, and renewable energy. With offices across the globe, Oscar is recognized as a top-five company to work for and is committed to delivering excellence in staffing services.

📋 Description

‱ Help develop insurance plan designs, including benefits, cost-sharing, and network structures ‱ Translate strategic direction and regulatory requirements into detailed, executable benefit configurations ‱ Ensure plan designs are reflected across internal systems and regulatory filings ‱ Partner with actuarial, regulatory, and compliance teams to validate benefit structures and cost-sharing agreement ‱ Support execution of the product lifecycle from design through filing, implementation, and launch readiness ‱ Maintain disciplined operating rhythms across design and filing cycles, ensuring timelines, dependencies, and deliverables are consistently met ‱ Improve process optimization and standardization across markets to improve scalability, reduce defects, and enhance speed to market ‱ Lead continuous improvement efforts across product design and filing workflows, identifying inefficiencies and implementing sustainable solutions ‱ Perform QA across plan designs, filings, and system configurations to ensure accuracy and compliance ‱ Identify and escalate inconsistencies or risks in design and execution ‱ Coordinate across partners to ensure accurate delivery of plans ‱ Support market, competitive, and regulatory analysis to inform plan design decisions ‱ Help monitor plan performance and identification of improvement opportunities post-launch ‱ Compliance with all applicable laws and regulations ‱ Other duties as assigned

🎯 Requirements

‱ Bachelor's degree in business, healthcare, economics, finance, or related field ‱ 5+ years of experience in health insurance product, ACA benefit design, regulatory filings, or related functions ‱ Operations experience following regimented processes associated with product development and regulatory filing processes, including ability to recommend process improvements for scale and optimization ‱ Knowledge of the ACA and small group plan design space, including cost-sharing structures, metal tiers, and essential health benefits ‱ Experience supporting regulatory filings and/or working with filing artifacts (e.g., PBTs, SOBs, SBCs) ‱ Strong attention to detail with experience managing complex benefit configurations across systems and documentation ‱ Experience working in cross-functional, matrixed environments (e.g., actuarial, finance, regulatory, network, and operations) ‱ Demonstrated ability to analyze data and support design and execution decisions ‱ Willingness to travel up to 25% of the time.

đŸ–ïž Benefits

‱ Health insurance ‱ 401(k) plan participation ‱ Unlimited vacation program ‱ Company equity grants ‱ Annual performance bonuses ‱ Paid holidays ‱ Paid sick time ‱ Paid parental leave ‱ Life and disability insurance ‱ Paid wellness time and reimbursements

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