Manager, Insurance Product and Benefit Design

The role

The Manager, Insurance Product and Benefit Design supports the development of health insurance plan designs across assigned markets. This person translates market strategy and regulatory requirements into detailed benefit designs and partners cross-functionally to deliver compliant health plans.

What you will do

• 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
• Improve process optimization and standardization across markets
• Lead continuous improvement efforts across product design and filing workflows
• Perform QA across plan designs, filings, and system configurations
• Identify and escalate inconsistencies or risks in design and execution

Required qualifications

• 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
• 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
• Demonstrated ability to analyze data and support design and execution decisions
• Willingness to travel up to 25% of the time

Nice to have

• 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

• 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
• Company equity grants
• 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.