Senior Manager, Insurance Product and Benefit Design

Job not on LinkedIn

🕒 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

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Oscar

WebsiteLinkedInAll Job Openings

51 - 200 employees

💼 Consulting

🏗️ Construction

🏥 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

• 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