Manager, Insurance Product and Benefit Design

🕒 September 23

🌵 Arizona, California, +13 more states – Remote

🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🎰 Nevada – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote 🔔 Pennsylvania – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote

💵 $122.2k - $160.4k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔒 Insurance

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 9%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Oscar Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2012

⚕️ Healthcare Insurance

🏥 Healthcare

💰 $355M Post-IPO Debt - Oscar Health on 2025-09

Healthcare Insurance • Healthcare

Oscar Health is a technology-driven health insurance company that provides individual, family, and small-group health plans in multiple U. S. states. Oscar combines traditional insurance underwriting with digital-first services — a consumer-facing app, 24/7 virtual urgent care, prescription delivery (including $3 meds in many plans), and dedicated Care Teams — and also operates Oscar Primary Care in some markets. The company emphasizes accessible, affordable, high-quality care and uses AI to improve member experience and care delivery. Insurance policies are underwritten by Oscar's state insurance subsidiaries and the company offers both HMO and other plan types across its markets.

📋 Description

• 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 agreements • Support the product lifecycle from design through filing, implementation, and launch readiness • Maintain operating rhythms across design and filing cycles, ensuring timelines, dependencies, and deliverables are met • Improve process optimization and standardization across markets • Lead continuous improvement efforts across product design and filing workflows • Perform QA across plan designs, filings, and system configurations • 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 • Monitor plan performance and identify post-launch improvement opportunities • Comply with all applicable laws and regulations • Perform 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 • 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 • Ability to analyze data and support design and execution decisions • Willingness to travel up to 25% of the time • Experience configuring or supporting plan builds in product systems • Familiarity with AV calculators, SBC calculators, and regulatory validation processes • Exposure to multi-state product environments and varying regulatory requirements • Experience supporting plan development, including QA and go-to-market readiness • Prior experience in ACA or small group lines of business • Experience with SQL or data tools

🏖️ Benefits

• Employee benefits • Unlimited vacation program • Company equity grants • Annual performance bonuses • Medical benefits • Dental benefits • Vision benefits • 11 paid holidays • Paid sick time • Paid parental leave • 401(k) plan participation • Life insurance • Disability insurance • Paid wellness time and reimbursements

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