Senior Manager, Insurance Product and Benefit Design

Responsibilities

• 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
• Act as the product owner for design within the regulatory filing process, ensuring accuracy across PBTs, SBCs, and internal systems
• Establish and enforce disciplined operating rhythms across design and filing cycles to meet timelines and deliverables
• Promote process optimization and standardization across markets to improve scalability and reduce defects
• Partner with actuarial, regulatory, compliance, and network teams to ensure seamless execution and agreement
• Evaluate program success against financial, operational, and member experience goals
• Mentor junior team members and support the development of 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 over design decisions
• Deep knowledge of ACA plan design, including cost-sharing structures, metal towers, and EHB regulatory requirements
• Proven experience leading regulatory filing processes, including PBT and SBC documentation
• Experience operating within complex, matrixed organizations
• Ability to follow and improve regimented processes associated with product development and regulatory filing
• Willingness to travel up to 25% of the time

Preferred Qualifications

• 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
• Proficiency with SQL or advanced analytics tools
• Prior experience specifically with ACA IFP plans

Benefits

• Medical, dental, and vision benefits
• Unlimited vacation program
• Annual performance bonuses
• 401(k) plan participation
• Life and disability insurance
• Paid wellness time and reimbursements

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.