[Remote] Senior Manager, Insurance Product and Benefit Design

Note: The job is a remote job and is open to candidates in USA. Oscar Health is a health insurance company focused on serving its members through a technology-driven platform. The Senior Manager, Insurance Product and Benefit Design will oversee the development of insurance plan designs, ensuring compliance and quality throughout the product lifecycle while optimizing workflows and processes.ResponsibilitiesManage end-to-end plan design across assigned geographies, including benefits, cost-sharing, and network considerationsTranslate market strategy, performance insights, and regulatory requirements into clear design decisionsLead the product lifecycle from design through filing, implementation, and post-launch performanceBe the product owner for design within the regulatory filing process, ensuring accuracy across PBT's, SBC's and internal systemsPromote agreement on actuarial, regulatory, compliance, network, and operational teamsEstablish and enforce disciplined operating rhythms across design and filing cycles, ensuring you meet timelines, dependencies, and deliverablesPromote process optimization and standardization across markets to improve scalability, reduce defects, and enhance speed to marketLead continuous improvement efforts across product design and filing workflows, identifying inefficiencies and implementing sustainable solutionsPartner to ensure seamless execution from design through regulatory filing submission, approval, and objection monitoringEvaluate program success against financial, operational, and provider/member experience goalsBalance standardized plan design frameworks with targeted market-specific variations to maintain competitivenessIdentify risks and lead resolution of complex design and execution issuesLead QA and go-to-market readiness reviews to ensure, compliant plan designsInterpret and conduct market, competitive, and regulatory analysis to inform strategy and positioningMentor junior team members and support development of team capabilitiesCompliance with all applicable laws and regulationsOther duties as assignedSkillsBachelor's degree in business, healthcare, economics, finance, or related field6+ years of experience in health insurance product and ACA / QHP benefit design with direct ownership over health plan design decisionsKnowledge of ACA plan design, including cost-sharing structures, metal towers, EHB and regulatory requirementsExperience leading regulatory filing processes, including PBT, SBC, and related documentationOperations experience following regimented processes associated with product development and regulatory filing processes, including ability to recommend process improvements for scale and optimizationExperience operating in complex, matrixed organizationsWillingness to travel up to 25% of the timeExperience defining or managing standardized ACA plan design frameworks across multiple marketsFamiliarity with product configuration systems and downstream filing processesExperience with AV calculator strategies and benefit design trade-off analysisExposure to portfolio management and lifecycle optimizationExperience with SQL or advanced analytics toolsPrior experience in ACA IFP plansBenefitsEmployee benefitsParticipation in Oscar's unlimited vacation programAnnual performance bonusesMedical, dental, and vision benefits11 paid holidaysPaid sick timePaid parental leave401(k) plan participationLife and disability insurancePaid wellness time and reimbursementsCompany OverviewOscar is a health insurance company that offers individual and family plans, medicare advantages, and small group products. It was founded in 2012, and is headquartered in New York, New York, USA, with a workforce of 1001-5000 employees. Its website is http://www.hioscar.com.