Oscar The Senior Manager, Insurance Product and Benefit Design owns insurance plan design development across assigned markets. This role leads product lifecycle management from design through post-launch optimization.
Responsibilities
The Senior Manager, Insurance Product and Benefit Design owns the development of insurance plan designs across assigned markets. You will translate market strategy into applicable benefit structures, leading agreement, and ensuring high-quality, compliant products. You will balance scalable design frameworks with market-specific differentiation and be responsible for end-to-end product performance from design through post-launch optimization. You will require operational leadership, including driving regimented processes, optimizing workflows for scale, and ensuring high-quality execution across complex filing and implementation cycles.
Work Location: This is a remote / work-from-home role. You must reside in one of the following states: Arizona, California, Colorado, Florida, Georgia, Illinois, Massachusetts, Michigan, Nevada, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Texas, or Virginia. Note, this list of states is subject to change. #LI-Remote
Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $149,040- $195,615 per year. The base pay for this role in all other locations is:: $134,136- $176,053 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
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
Qualification
Bachelor's degree in businessKnowledge of ACA plan designExperience operating in complexPrior experience in ACA IFP plansAt Oscar
Required
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.
Preferred
Experience defining or managing standardized ACA plan design frameworks across multiple markets
Familiarity with product configuration systems and downstream filing processes
Experience with AV calculator strategies and benefit design trade-off analysis
Exposure to portfolio management and lifecycle optimization
Experience with SQL or advanced analytics tools
Prior experience in ACA IFP plans
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