Remote Insurance Product & Benefits Lead

Oscar Health; Phoenix (AZ); Remote; USD 122,000 - 178,000; Full time

Job summary

Oscar Health is seeking a Manager, Insurance Product & Benefit Design to join our Insurance Product Development team. The role translates market strategy and regulatory requirements into detailed benefit designs across markets, ensuring accuracy across systems, filings, and member-facing materials.

You will work with actuarial, regulatory, network, market leadership, clinical, and operational teams to deliver compliant, competitive health plans and report to the Vice President, Insurance Product

Qualifications

• Bachelor's degree in business, healthcare, economics, finance, or related field.
• 5+ years of experience in health insurance product or ACA benefit design.
• Experience with regulatory filings and filing artifacts (PBTs, SOBs, SBCs).
• Strong attention to detail across complex benefit configurations.
• Experience in cross-functional, matrixed environments.
• Willingness to travel up to 25%

Responsibilities

• Develop insurance plan designs including benefits, cost-sharing, and network structures.
• Translate 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

Skills

Regulatory filings

Cross-functional collaboration

Data analysis

Attention to detail

Travel willingness

Plan design knowledge

Education

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

Tools

AV calculators

SBC calculators

SQL

Regulatory filing tools

Job description

Oscar Health is seeking a Manager, Insurance Product & Benefit Design to join our Insurance Product Development team. The role translates market strategy and regulatory requirements into detailed benefit designs across markets, ensuring accuracy across systems, filings, and member-facing materials.

You will work with actuarial, regulatory, network, market leadership, clinical, and operational teams to deliver compliant, competitive health plans and report to the Vice President, Insurance Product