Manager, Insurance Product and Benefit Design

Oscar

Manager, Insurance Product and Benefit Design at Oscar Health supporting health insurance plan designs across markets. Collaborating with cross-functional teams to ensure compliance and compete effectively in the market.

Posted 5/27/2026full-timeRemote • Arizona, California, Colorado, Florida, Illinois, Massachusetts, Missouri, Nevada, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Texas, Virginia • 🇺🇸 United StatesMid-LevelSenior💰 $122,212 - $160,404 per yearWebsite

About the role

Key responsibilities & impact

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

What you’ll need

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.

Benefits

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

health insurance product designACA benefit designregulatory filingsprocess optimizationcost-sharing structuresmetal tiersessential health benefitsdata analysisQA across plan designsbenefit configurations

Soft Skills

attention to detailcross-functional collaborationcontinuous improvementproblem-solvingcommunicationorganizational skillsleadershipanalytical thinkingtime managementadaptability

Certifications

Bachelor's degree in businessBachelor's degree in healthcareBachelor's degree in economicsBachelor's degree in finance