Remote Insurance Product & Benefit Design Leader

Oscar Health, Inc.; United States; Remote; USD 122,000 - 178,000; Full time

Benefits offered by this job

Unlimited vacation

Equity grants

Annual performance bonuses

Job summary

Oscar Health, Inc. is seeking a Manager, Insurance Product & Benefit Design to drive health plan designs across markets.

You will translate market strategy and regulatory requirements into detailed benefit configurations and ensure accuracy across filings and member-facing materials. You will work with actuarial, regulatory, network, market leadership, clinical, and operations teams to deliver compliant, competitive plans while reporting to the VP, Insurance Product Innovation and Development.

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.
• 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).
• Willingness to travel up to 25% of the time.

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 elevate 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

Job description

Oscar Health, Inc. is seeking a Manager, Insurance Product & Benefit Design to drive health plan designs across markets.

You will translate market strategy and regulatory requirements into detailed benefit configurations and ensure accuracy across filings and member-facing materials. You will work with actuarial, regulatory, network, market leadership, clinical, and operations teams to deliver compliant, competitive plans while reporting to the VP, Insurance Product Innovation and Development.