Insurance

• Lead the development of product and innovation strategies across the individual market and new solution spaces
• Translate enterprise and market priorities into relevant product strategies, value propositions, and expansion roadmaps
• Identify and scale new growth opportunities, including lifestyle-oriented products, population-specific solutions, and adjacent offerings
• Define market-specific right-to-win strategies, competitive positioning, and investment priorities
• Lead development of business cases, including return on investment, growth, and margin impact in partnership with actuarial and finance
• Promote optimization of product performance using member insights, behavioral data, and market intelligence
• Ensure new solutions integrate with existing product portfolio, benefit design standards, and member value propositions
• Improve modular product design to improve scalability, consistency, and speed to market across markets
• Manage product lifecycle performance, including launch readiness, post-launch optimization, and long-term sustainability
• Partner with product execution, compliance, and regulatory teams to ensure readiness and adherence to all requirements
• Build design and execution of the member incentives platform (rewards, engagement programs, and vendor partnerships)
• Define and innovate the program structure, eligibility, and value proposition in consideration of member engagement and retention goals
• Partner with other teams and external vendors to provide scalable, compliant incentive solutions
• Support ongoing refinement post-launch of incentive platform and partnership models, based on data-driven insights to promote membership engagement
• Be the senior connector across actuarial, network, market leadership, compliance, regulatory, finance, and growth teams
• Promote agreement, ensuring decision-making and execution
• Manage dependencies, timelines, and trade-offs alongside peers to ensure execution and delivery of results
• Influence strategic decisions across a matrixed organization without direct authority
• Lead complex programs spanning multiple markets, partners, and products
• Analyze results and provide recommendations to improve product performance or scaling of geographies, based on data-driven insights
• Provide leadership oversight for direct report(s), including coaching, conducting frequent meetings, direction.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Associate Director, Insurance Product Innovation, Emerging Solutions

• Lead the execution of ACA individual and small group health plan products
• Manage end-to-end product portfolio performance, spanning benefit design, filings, and go-to-market readiness
• Oversee the development of positioning, go-to-market plans, and sales enablement tools
• Establish disciplined operating rhythms across product development and filing cycles
• Build scalable processes and workflows to support multi-state execution
• Partner with actuarial, network, market leadership, and compliance to achieve growth in a regulated environment

Senior Director, Insurance Product Development, Execution

• Lead the strategy for next-generation lifestyle-focused health solutions.
• Be a hands-on strategic product leader and people leader.
• Accountable for building a high-performing team while directly leading product strategy and delivery.
• Translate enterprise priorities into scalable, market-ready health solutions that increase growth, retention, and long-term portfolio difference.
• Report into the Vice President, Insurance Product Innovation and Development.
• Collaborate with cross-functional leadership teams to develop culturally aligned and linguistically tailored health solutions.

Senior Director, Insurance Product Innovation, Emerging Solutions

• Manage insurance product execution calendar from design translation through filing, implementation, and ongoing optimization; operate as the hub of the department PMO activities
• Ensure agreement between product intent, regulatory requirements, and operational outputs in partnership with the Strategic Programs Organization
• Partner with insurance product leadership to translate strategy into relevant execution plans
• Promote performance tracking and process improvement
• Implement insurance product-specific ACA filing components across Oscar's markets
• Oversee development of important artifacts (e.g., PBT, SOB, SBC, and benefit documentation) through internal systems
• Coordinate inputs to ensure filing readiness and timeline adherence
• Manage responses to regulatory objections and escalations
• Manage QA frameworks, validation processes, and quality standards for product execution and filing outputs
• Establish execution rhythms, milestones, and governance across the lifecycle
• Promote process standardization and continuous improvement
• Resolve risks, dependencies, and data inconsistencies
• Implement reporting to track progress, risks, and performance
• Oversee production readiness and release schedules for filing outputs
• Enforce controls (e.g., freeze windows, change governance) during critical periods
• Manage version control standards to ensure outputs are accurate and traceable
• Be an escalation point for vendors supporting product execution and QA, managing performance and delivery
• Be the central execution hub across Insurance product and other leaders
• Improve agreement on priorities and timelines; lead implementation forums and issue resolution
• Lead team members responsible for product execution and QA
• Set priorities, performance expectations, and staffing / developmental plans
• Build team capabilities in product execution, regulatory understanding, and operational excellence
• Lead end to end regulatory QHP filing execution and ensure accurate, compliant, and submissions
• Establish execution rhythms, track milestones, surface risks, and lead issue resolution
• Support leadership decision-making with clear updates and recommendations
• Mentor and lead associate level execution staff
• Compliance with all applicable laws and regulations
• Other duties as assigned

Director, Insurance Product Filing – Lifecycle Management

• Promote development of new insurance product concepts and health solutions (e.g., lifestyle-based, multicultural, condition-specific health plans)
• Translate strategy into early-stage designs, value propositions, and use cases
• Identify opportunities based on member needs, health disparities, and market trends to differentiate and win
• Contribute to development of culturally-aligned and population-specific offerings
• Support design of condition-focused solutions (e.g., chronic condition or disease-specific concepts)
• Help shape offerings that improve engagement, outcomes, and provider/member experience
• Analyze market, competitive, and member analysis to inform innovation priorities
• Support opportunity sizing and business case inputs for new concepts
• Partner with product design, clinical, network, actuarial, corporate strategy, and growth teams
• Coordinate inputs and timelines to move concepts from brainstorming to pilot and launch
• Support execution of pilots and early-stage programs
• Track performance, gather insights, and summarize insights
• Recommend whether to refine, pivot, or discontinue product concepts
• Lead different teams to develop requirements and support implementation.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Manager, Insurance Product Innovation – Emerging Solutions

• Lead complex initiatives designed to mitigate current and emerging risks with broad impact
• Act as key participant in monitoring, evaluating, and measuring the impact of decisions practiced in Control Management functional area
• Monitor moderately complex business specific programs, and provide risk management consulting to support the business in designing and implementing risk-mitigation strategies
• Monitor, measure, evaluate, and report on the impact of decisions and controls to the relevant business group or functional area
• Develop and implement risk monitoring and risk reporting processes and controls
• Collaborate with relevant business group to identify current and emerging risks associated with business activities and operations, and provide guidance in developing and implementing risk-mitigating strategies
• Lead Control Management project or virtual teams
• Lead and perform complex platform assurance assessments across IT General Controls (ITGC), platform engineering controls, and supporting technology services.
• Conduct hand on control testing and evaluation for emerging technology including cloud (Azure, GCP, AWS), private cloud, IAM, CI/CD, data platforms, databases, and container platforms.
• Identify and assess Consumer/Producer requirements and evaluate their implementation across enabling technologies and system-of-record governance.
• Analyze evidence, document findings, and assess platform risk posture with clear articulation of control impacts.

Lead Control Management Officer – Platform Assurance

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Senior Commercial Insurance Analyst

• Conduct primary and secondary market research to support insurance product strategy and market-level decision-making
• Analyze healthcare market trends, consumer behaviors, competitor activity, and product performance
• Develop market research summaries, dashboards, presentations, and strategic insights for company partners
• Support competitive intelligence through data gathering and analysis
• Help develop market analyses, consumer segmentation, and opportunity assessments
• Partner with team members to support research requests and strategic programs
• Compile and maintain market intelligence databases, reports, and recurring deliverables
• Translate complex data into concise, relevant insights for business audiences
• Support qualitative and quantitative research projects, including surveys, interviews, and market assessments
• Contribute to continuous improvement of research methodologies and reporting processes
• Compliance with all applicable laws and regulations
• Other duties as assigned

Manager, Insurance Product Market Research

• Own the development and evolution of the employer-subsidized product strategy, including target segments, value proposition, and market expansion roadmap in partnership with cross-functional stakeholders, including Growth, Sales, and ICHRA leadership
• Lead and contribute to business cases associated with new products, including return on investment assessments to propel growth in membership and profitability, alongside a positive brand experience
• Identify and assess new growth opportunities across employer-sponsored, individual, and adjacent product spaces
• Define market-specific right to win strategies, competitive positioning, and expansion priorities
• Translate enterprise and market-level strategies into relevant product programs and measurable outcomes
• Partner with peers to translate strategies into scalable, fileable product designs
• Ensure ICHRA and new solutions align with product architecture, benefit design standards, and member value propositions
• Promote consistency and reusability through modular product design, avoiding one-off or fragmented solutions
• Support development of competitive product offerings, informed by market insights, pricing considerations, and member insights
• Serve as primary connector across key stakeholders including actuarial, network, market leadership, compliance, regulatory affairs, corporate strategy, distribution and growth to drive alignment with competing priorities, ensuring timely decision making and execution orientation
• Establish measurements, including growth, retention, margin, and market competitiveness with corporate finance
• Support business case development and oversight of vendor and partner relationships related to new solutions, while ensuring operational processes are in place to mitigate risks
• Compliance with all applicable laws and regulations
• Other duties as assigned

Associate Director, Insurance Product – Employer Subsidized & Emerging Solutions

• 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

Manager, Insurance Product and Benefit Design

• Monitor competitor product strategies, benefits, network positioning, and market activity
• Develop competitor profiles, market summaries, strategic insights, and executive ready presentations
• Conduct market and competitive analysis using regulatory filings, enrollment data, financial reports, consumer insights, and industry research
• Support development of product and market recommendations tied to growth, retention, and portfolio optimization goals
• Partner with product, actuarial, network, clinical, sales, and market leadership teams to evaluate market opportunities, growth, and risks
• Produce recurring reporting and ad hoc analyses related to product positioning and market dynamics
• Identify emerging trends, disruptive market shifts, and new ideas across the healthcare landscape
• Support strategic planning programs and market-specific business case development
• Contribute to development of standardized product specific intelligence frameworks and processes
• Compliance with all applicable laws and regulations
• Other duties as assigned

Senior Manager, Insurance Product Intelligence

• Lead complex or multi-market IFP portfolios with ownership of strategic intent, design coherence, execution quality, and in-market performance
• Report to the Vice President, Insurance Product Innovation and Development
• Oversee end to end plan design and execution across assigned portfolios
• Serve as a senior approver for plan designs, filings, and regulatory submissions
• Share accountability for live plan performance with leadership and Senior Managers

Associate Director, Individual and Family Plan Insurance Solutions

• Support the strategy development and scaling of employer subsidized (ICHRA) and adjacent growth-oriented health insurance solutions
• Translate enterprise, subsidiary, and market level strategies into actionable product concepts
• Ensure alignment with core ACA offerings
• Drive end-to-end product lifecycle execution through launch and performance optimization
• Report into the Vice President, Insurance Product Innovation and Development
• Own the development and evolution of the employer-subsidized product strategy
• Lead and contribute to business cases associated with new products
• Identify and assess new growth opportunities across employer-sponsored, individual, and adjacent product spaces
• Define market-specific right to win strategies, competitive positioning, and expansion priorities
• Partner with peers to translate strategies into scalable, fileable product designs
• Ensure ICHRA and emerging solutions align with product architecture, benefit design standards, and member value propositions
• Promote consistency and reusability through modular product design
• Serve as primary connector across key stakeholders

Associate Director, Insurance Product Insights, Intelligence

• Consult on life insurance products to customers.
• Assist customers with life insurance applications and claims.
• Provide customers with information on life insurance plans and options.
• Maintain compliance with life insurance regulations.

Life Insurance Agent Team Member

• Serve as a trusted advisor to commercial business leaders, using advanced analytics and strong consulting skills to shape strategy and drive measurable business outcomes.
• Lead complex, cross-functional analytical initiatives from problem definition through recommendation and implementation.
• Proactively identify emerging trends, risks, and opportunities within the commercial book of business and influence decisions at senior leadership levels.
• Regularly lead and contribute to enterprise-impact initiatives, mentor and develop less experienced analysts, and ensure analytical rigor, consistency, and business relevance across deliverables.

Commercial Insurance Analytics Consultant

• You'll be at the heart of our client experience.
• You'll guide, support, and inspire customers while offering solutions that truly make a difference.
• This is not your average customer service role.
• Find satisfaction in solving problems and creating value for others.

Life Insurance Sales

• Enhance and operationalize the private credit risk framework, ensuring its consistent application across all stages of the credit lifecycle.
• Provide independent oversight and challenge of the first line of defense's loan covenant monitoring and enforcement activities.
• Conduct thorough due diligence on potential and existing asset managers.
• Oversee the day-to-day operations of the private credit investment portfolio.
• Provide a strong, independent challenge to First Line of Defense (FLOD) activities, risk metrics, and established risk limits.
• Identify critical capability needs within the risk management function and champion initiatives.
• Communicate complex risk analyses and findings concisely to senior stakeholders, committees, and investment professionals.
• Maintain expert knowledge of financial markets, emerging risks, and complex asset classes relevant to private credit.
• Work closely with internal teams, including investment, underwriting, legal, and finance, to align private credit strategy and ensure operational excellence.

Principal – Private Credit Risk Management

• Lead, coach, and develop a team of licensed insurance agents in a fast-paced, performance-driven environment
• Drive accountability against core KPIs including conversion rate, premium production, contact rate, and customer experience metrics
• Conduct regular coaching sessions, call reviews, and performance evaluations to identify opportunities for growth and development
• Establish clear performance expectations, goals, and action plans for agents
• Continuously assess and improve sales workflows, processes, and team operations to drive efficiency, scalability, and growth
• Identify opportunities to optimize lead management, quoting, follow-up strategies, and customer engagement
• Partner cross-functionally to implement operational enhancements and improve the overall agent and customer experience
• Collaborate closely with Product, Operations, and Leadership teams to provide feedback on tooling, workflows, lead distribution, and process improvements
• Serve as a key stakeholder in shaping the infrastructure and operational strategy of the agency
• Support hiring efforts by interviewing and onboarding new insurance agents across multiple locations
• Design and facilitate ongoing training sessions, coaching programs, and skills refreshers
• Monitor, analyze, and report on agent and team performance trends
• Leverage data, dashboards, and reporting tools to identify insights and drive actionable improvements
• Track progress toward team goals and provide regular updates to leadership

Sales Manager, Insurance

• Utilize online systems, phone communication, and other resources to determine eligibility and benefits prior to scheduled appointments in accordance with Vail Health timelines
• Accurately identify and assign payer plan codes in the organization’s electronic health record system
• Verify medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards and communicate coverage and eligibility details to patients
• Communicate with patients, physicians, clinicians, front-end staff, and translators to gather any additional required information
• Identify and obtain missing patient demographic, insurance, or pre-authorization details
• Coordinate benefits by determining primary and secondary liability when applicable
• Obtain pre-certifications and pre-authorizations from third-party payers per payer requirements
• Escalate complex cases and notify patients or physician offices of any issues impacting verification or eligibility
• Communicate patient financial responsibility directly or partner with appropriate staff to review payment and financial assistance options
• Demonstrate and uphold the principles of a Just Culture
• Perform other duties as assigned; must remain HIPAA compliant

Insurance Verification Representative

• Lead clients through discovery, including personal or business needs and goals, current financial status, be able to articulate identified gaps and opportunities, and describe solutions including life, long term care and disability income insurance to meet client needs.
• Manage daily activities and drive sales activity and pending business.
• Handle incoming calls directly from referral sources, and to be available for pre-set calls with clients and their Advisors.
• Complete insurance applications and take responsibility for following cases thorough the underwriting process.
• Explain to clients and advisors how various insurance products work, the differences between product types, and their advantages.
• See all sales activity through towards product purchase.
• Be knowledgeable in positioning life insurance in the financial planning process, including advanced estate planning strategies, ILIT's, Special Needs Trusts, positioning life insurance as an asset class, policy loans, taxation of life insurance, annual and lifetime gifting, wealth transfer/maximization strategies and utilizing life insurance in the business planning process to include executive benefits.
• Have a complete understanding of the underwriting process and the role within it.

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