Manager, Insurance Product and Benefit Design

Responsibilities

• 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 accurately reflected across internal systems and regulatory filings
• Partner with actuarial, regulatory, and compliance teams to validate benefit structures and cost-sharing agreements
• Support the full product lifecycle from design through filing, implementation, and launch readiness
• Lead continuous improvement efforts to optimize product design and filing workflows
• Perform QA across plan designs, filings, and system configurations to ensure accuracy and compliance
• Support market, competitive, and regulatory analysis to inform design decisions

Requirements

• Bachelor's degree in business, healthcare, economics, finance, or a related field
• 5+ years of experience in health insurance product, ACA benefit design, or regulatory filings
• Deep knowledge of the ACA and small group plan design space, including metal tiers and essential health benefits
• Experience supporting regulatory filings and working with filing artifacts (e.g., PBTs, SOBs, SBCs)
• Strong attention to detail with experience managing complex benefit configurations across systems
• Experience working in cross-functional, matrixed environments (actuarial, finance, regulatory, network, etc.)
• Demonstrated ability to analyze data to support design and execution decisions
• Willingness to travel up to 25% of the time

Preferred 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 with SQL or other data tools

About the Company

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.