Remote Insurance Product & Benefit Design Manager

Oscar-Health-; New York (NY); Remote; USD 136,000 - 178,000; Full time

Job summary

Oscar Health seeks a Manager, Insurance Product & Benefit Design to join our Insurance Product Development team. This remote role supports development of health plan designs across markets, translating strategy and regulatory requirements into detailed benefit configurations.

You will collaborate with actuarial, regulatory, network, market leadership, clinical, and operations teams to deliver compliant, competitive plans.

Qualifications

• Bachelor’s degree required in business, healthcare, economics, finance, or related field.
• 5+ years in health insurance product, ACA benefit design, regulatory filings, or related functions.
• Experience with regulatory filings and filing artifacts (e.g., PBTs, SOBs, SBCs).
• Detail-oriented with complex benefit configurations across systems and documentation.
• Experience in cross-functional, matrixed environments (actuarial, finance, regulatory, network, and operations).
• Willingness to travel up to 25%.

Responsibilities

• Translate strategy 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.
• Support 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 to improve scalability and speed to market.
• Lead continuous improvement across product design and filing workflows.
• Perform QA across plan designs, filings, and system configurations.
• 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.

Skills

Cross-functional collaboration

Regulatory knowledge

Data analysis

Attention to detail

Communication skills

Travel willingness

Education

Bachelor's degree in business, healthcare, economics, finance, or related field

Tools

AV calculators

SBC calculators

Regulatory validation tools

SQL / data tools

Job description

Oscar Health seeks a Manager, Insurance Product & Benefit Design to join our Insurance Product Development team. This remote role supports development of health plan designs across markets, translating strategy and regulatory requirements into detailed benefit configurations.

You will collaborate with actuarial, regulatory, network, market leadership, clinical, and operations teams to deliver compliant, competitive plans.