[Remote] Manager, Insurance Product and Benefit Design

Note: The job is a remote job and is open to candidates in USA. Oscar Health is hiring a Manager, Insurance Product and Benefit Design to develop health insurance plan designs across assigned markets. The role translates market strategy and regulatory requirements into benefit designs and coordinates with cross-functional teams to ensure accurate, compliant filings, systems, and member-facing materials.

Responsibilities

• Help 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 reflected across internal systems and regulatory filings
• Partner with actuarial, regulatory, and compliance teams to validate benefit structures and cost-sharing agreement
• Support execution of the product lifecycle from design through filing, implementation, and launch readiness
• Maintain disciplined operating rhythms across design and filing cycles, ensuring timelines, dependencies, and deliverables are consistently met
• Improve 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
• Perform QA across plan designs, filings, and system configurations to ensure accuracy and compliance
• Identify and escalate inconsistencies or risks in design and execution
• Coordinate across partners to ensure accurate delivery of plans
• Support market, competitive, and regulatory analysis to inform plan design decisions
• Help monitor plan performance and identification of improvement opportunities post-launch
• Compliance with all applicable laws and regulations
• Other duties as assigned

Skills

• 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, including 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
• 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

Benefits

• Remote / work-from-home role
• Employee benefits
• Participation in Oscar's unlimited vacation program
• Company equity grants
• Annual performance bonuses
• 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

Company Overview

Company H1B Sponsorship