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Salary: USD 122,212 - 178,227 / annual
Oscar Health is seeking a Manager, Insurance Product and Benefit Design to join the Insurance Product Development team. Oscar is a health insurance company built on a full-stack technology platform, founded in 2012 with a focus on serving members through innovative, technology-driven health insurance solutions.
In this role, you will support the development of health insurance plan designs across assigned markets. You will translate market strategy and regulatory requirements into detailed benefit designs, ensuring accuracy across systems, filings, and member-facing materials. This position requires close partnership with actuarial, regulatory, network, market leadership, clinical, and operational teams to deliver compliant, competitive health plans.
Key responsibilities include:
- Developing insurance plan designs, including benefits, cost-sharing, and network structures
- Translating strategic direction and regulatory requirements into detailed, executable benefit configurations
- Ensuring plan designs are reflected across internal systems and regulatory filings
- Partnering with actuarial, regulatory, and compliance teams to validate benefit structures and cost-sharing agreements
- Supporting the full product lifecycle from design through filing, implementation, and launch readiness
- Maintaining disciplined operating rhythms across design and filing cycles, ensuring timelines and deliverables are met
- Driving process optimization and standardization across markets to improve scalability, reduce defects, and enhance speed to market
- Leading continuous improvement efforts across product design and filing workflows
- Performing QA across plan designs, filings, and system configurations to ensure accuracy and compliance
- Identifying and escalating inconsistencies or risks in design and execution
- Coordinating across partners to ensure accurate plan delivery
- Supporting market, competitive, and regulatory analysis to inform plan design decisions
- Monitoring plan performance post-launch and identifying improvement opportunities
You will report to the Vice President, Insurance Product Innovation and Development. This is a remote 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. Travel up to 25% of the time is required.
Requirements:
- 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, with 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
Bonus qualifications:
- Experience configuring or supporting plan builds in product systems
- Familiarity with AV calculators, SBC calculators, and regulatory validation processes
- Exposure to multi-state product environments and varying regulatory requirements
- Experience supporting plan development, including QA and go-to-market readiness
- Prior experience in ACA or small group lines of business
- Experience with SQL or data tools
