Senior Manager, Insurance Product and Benefit Design

🕒 June 11

🌵 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

💵 $134.1k - $176.1k / year

⏰ Full Time

🟠 Senior

🔒 Insurance

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 35%

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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

• Manage end-to-end plan design across assigned geographies, including benefits, cost-sharing, and network considerations • Translate market strategy, performance insights, and regulatory requirements into clear design decisions • Lead the product lifecycle from design through filing, implementation, and post-launch performance • Be the product owner for design within the regulatory filing process, ensuring accuracy across PBT's, SBC's and internal systems • Promote agreement on actuarial, regulatory, compliance, network, and operational teams • Establish and enforce disciplined operating rhythms across design and filing cycles, ensuring you meet timelines, dependencies, and deliverables. • Promote 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 • Partner to ensure seamless execution from design through regulatory filing submission, approval, and objection monitoring • Evaluate program success against financial, operational, and provider/member experience goals • Balance standardized plan design frameworks with targeted market-specific variations to maintain competitiveness • Identify risks and lead resolution of complex design and execution issues • Lead QA and go-to-market readiness reviews to ensure compliant plan designs • Interpret and conduct market, competitive, and regulatory analysis to inform strategy and positioning • Mentor junior team members and support development of team capabilities • Compliance with all applicable laws and regulations • Other duties as assigned

🎯 Requirements

• Bachelor's degree in business, healthcare, economics, finance, or related field • 6+ years of experience in health insurance product and ACA / QHP benefit design with direct ownership over health plan design decisions • Knowledge of ACA plan design, including cost-sharing structures, metal towers, EHB and regulatory requirements • Experience leading regulatory filing processes, including PBT, SBC, and related documentation • Operations experience following regimented processes associated with product development and regulatory filing processes, including ability to recommend process improvements for scale and optimization • Experience operating in complex, matrixed organizations • Willingness to travel up to 25% of the time.

🏖️ Benefits

• Employee benefits • Participation in Oscar's unlimited vacation program • Annual performance bonuses