Senior Manager, Insurance Product and Benefit Design

The role

The Senior Manager, Insurance Product and Benefit Design owns the development of insurance plan designs across assigned markets. You will translate market strategy into benefit structures and manage the product lifecycle from design through post-launch optimization.

What you will do

• Manage end-to-end plan design across assigned geographies
• Translate market strategy, performance insights, and regulatory requirements into design decisions
• Lead the product lifecycle from design through filing, implementation, and post-launch performance
• Be the product owner for design within the regulatory filing process
• Promote agreement on actuarial, regulatory, compliance, network, and operational teams
• Establish and enforce disciplined operating rhythms across design and filing cycles
• Promote process optimization and standardization across markets
• Lead continuous improvement efforts across product design and filing workflows
• Partner to ensure seamless execution from design through regulatory filing submission
• Evaluate program success against financial, operational, and provider/member experience goals

Required qualifications

• Bachelor's degree in business, healthcare, economics, finance, or related field
• 6+ years of experience in health insurance product and ACA / QHP benefit design with direct ownership over health plan design decisions
• Knowledge of ACA plan design, including cost-sharing structures, metal towers, EHB and regulatory requirements
• Experience leading regulatory filing processes, including PBT, SBC, and related documentation
• Operations experience following regimented processes associated with product development and regulatory filing processes
• Experience operating in complex, matrixed organizations
• Willingness to travel up to 25% of the time

Nice to have

• 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
• Experience with SQL or advanced analytics tools
• Prior experience in ACA IFP plans

Benefits

• 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
• Unlimited vacation program
• Annual performance bonuses

About the company

Oscar is a health insurance company built around a full stack technology platform. It was started in 2012 to create a health insurance company that behaves like a doctor in the family.