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Senior Manager, Insurance Product and Benefit Design

3 months ago
United States
Full-time
Senior
Product Manager
Product Management
SQL
Apply Now
Oscar

Oscar

Oscar is a health insurance company that offers plans for individuals, families, and small businesses. With a focus on humanizing health care through technology, design, and data, Oscar provides easy-to-understand bills, 24/7 access to doctors, and a p...

Insurance
1K-5K
Founded 2012
View All Jobs 31

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 design decisions.
  • Lead the product lifecycle from design through filing, implementation, and post-launch performance.
  • Own design accuracy within the regulatory filing process, including PBTs, SBCs, and internal systems.
  • Align actuarial, regulatory, compliance, network, and operational stakeholders on design decisions.
  • Establish disciplined operating rhythms and manage timelines, dependencies, and deliverables across design and filing cycles.
  • Drive process optimization and standardization to improve scalability, reduce defects, and accelerate speed to market.
  • Lead continuous improvement efforts across product design and filing workflows.
  • Support regulatory filing submission, approval, and objection monitoring.
  • Evaluate program success against financial, operational, and provider/member experience goals.
  • Balance standardized plan design frameworks with market-specific variations to maintain competitiveness.
  • Identify risks and resolve complex design and execution issues.
  • Lead QA and go-to-market readiness reviews to ensure compliant plan designs.
  • Interpret market, competitive, and regulatory analysis to inform strategy and positioning.
  • Mentor junior team members and help build team capabilities.

Requirements

  • Bachelor's degree in business, healthcare, economics, finance, or a related field.
  • 6+ years of experience in health insurance product and ACA/QHP benefit design with direct ownership of health plan design decisions.
  • Knowledge of ACA plan design, including cost-sharing structures, metal tiers, EHB, and regulatory requirements.
  • Experience leading regulatory filing processes, including PBT, SBC, and related documentation.
  • Operations experience with regimented product development and regulatory filing processes, including recommending process improvements for scale and optimization.
  • Experience working in complex, matrixed organizations.
  • Willingness to travel up to 25% of the time.
  • Experience defining or managing standardized ACA plan design frameworks across multiple markets (preferred).
  • Familiarity with product configuration systems and downstream filing processes (preferred).
  • Experience with AV calculator strategies and benefit design trade-off analysis (preferred).
  • Exposure to portfolio management and lifecycle optimization (preferred).
  • Experience with SQL or advanced analytics tools (preferred).
  • Prior experience in ACA IFP plans (preferred).

Benefits

  • Remote/work-from-home role.
  • Base salary of $149,040-$195,615 in CA, CT, NJ, NY, and WA, or $134,136-$176,053 in other locations.
  • Eligible for annual performance bonuses.
  • Unlimited vacation program.
  • Medical, dental, and vision benefits.
  • 11 paid holidays.
  • Paid sick time.
  • Paid parental leave.
  • 401(k) plan participation.
  • Life and disability insurance.
  • Paid wellness time and reimbursements.

Interested in this position?

Apply directly on the company website

Apply Now

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