Senior Manager, Individual and Family Plan Insurance Solutions

Oscar Health; New York (NY); Remote; USD 149,000 - 196,000; Full time

Job summary

Oscar Health, Inc. is seeking a Senior Manager of Insurance Solutions to own end-to-end plan outcomes for Individual and Family Plan markets.

You will lead design, filing execution, launch readiness, and post-launch performance, reporting to the VP of Insurance Product Innovation and Development, with a strong emphasis on data-driven decision making and market strategy. The role is remote with eligibility to reside in specified states, and involves travel up to 25%.

Qualifications

• 6+ years of product management experience (IFP/Employer-Subsidized products preferred).
• 5+ years of management experience in a cross-functional environment (e.g., finance, consulting, health insurance).
• 4+ years owning plan design and regulatory filings.
• 3+ years of experience and strong proficiency with Excel and SQL to manipulate and analyze data.
• Travel up to 25% of the time.

Responsibilities

• Lead end-to-end plan design, including benefits, cost-sharing, and networks while balancing member experience with affordability and operational constraints.
• Translate market strategy, regulatory requirements, and growth objectives into detail executable designs.
• Proactively identify design opportunities or risks based on market dynamics and performance insights.
• Use quantitative and qualitative data to drive design decisions and identify market risks or opportunities.
• Serve as the primary product owner for assigned market filings, coordinating with Actuarial, Regulatory, Compliance, Operations and Technology teams.
• Ensure all designs are reflected in filings, systems, and member-facing materials.
• Lead plan-level QA and readiness reviews; identify and remediate defects.
• Escalate material risks with clear recommendations and supporting analysis.
• Partner with Market Directors and Actuarial to monitor plan performance post-launch.
• Identify underperformance, conduct root-cause analysis, and drive corrective actions.

Skills

Product management

Cross-functional leadership

Strategic thinking

Leadership

Data analysis

Education

BS/BA degree in quantitative or healthcare field

Tools

Excel

SQL

R

Python

Job description

Hi, we're Oscar. We're hiring a Senior Manager, Individual and Family Plan Insurance Solutions to join our Insurance Product Development team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About The Role

The Senior Manager, Individual and Family Plan Insurance Solutions is a hands-on product owner accountable for end-to-end plan outcomes for assigned IFP markets. This role owns plan strategy, detailed design, filing execution, launch readiness, and post-launch performance, and is directly responsible for plan quality and stability once live. This individual is also directly accountable for health solution execution from product development to filing, launch, and post-launch performance, while also being directly accountable for plan readiness, quality, and issue remediation.

You will report into the Vice President, Insurance Product Innovation and Development.

Work Location

This is a remote / work-from-home role. You must reside in one of the following states: Arizona, California, Colorado, Florida, Georgia, Illinois, Massachusetts, Michigan, Nevada, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Texas, or Virginia. Note, this list of states is subject to change.

Pay Transparency

The base pay for this role is: $149,040 - $195,615 per year in New Jersey, New York, and California. The base pay for all other locations is: $134,136 - $176,053 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.

Responsibilities

Strategy & Plan Design

• Lead end-to-end plan design, including benefits, cost-sharing, and networks while balancing member experience with affordability and operational constraints
• Translate market strategy, regulatory requirements, and growth objectives into detail executable designs
• Proactively identify design opportunities or risks based on market dynamics and performance insights
• Use quantitative and qualitative data to drive design decisions and proactively identify market risks or opportunities.

Execution & Filing Ownership

• Serve as the primary product owner for assigned market filings, coordinating cross-functionality with Actuarial, Regulatory, Compliance, Operations and Technology teams to ensure on-time accurate delivery
• Ensure all designs are accurately reflected in filings, systems, and member-facing materials

Quality, Approvals & Accountability

• Lead plan-level Quality Assurance (QA) and readiness reviews; identify and remediate design or execution defects
• Escalate material risks with clear recommendations and supporting analysis

Post-Launch Performance

• Partner with Market Directors and Actuarial to monitor plan performance post-launch
• Identify underperformance, conduct root-cause analysis, and drive corrective actions
• Feed learnings forward into future plan cycles and portfolio discussions

Requirements

• 6+ years of product management experience, preferably in IFP and Employer-Subsidized products
• 5+ years of management experience in cross-functional environment (e.g., finance, consulting, health insurance)
• 4+ years of experience owning plan design and regulatory filings
• 3+ years of experience and strong proficiency with Excel and SQL required to manipulate and analyze data
• Travel up to 25% of the time

Bonus Points

• BS/BA degree in a quantitative or healthcare field such as Business, Healthcare, Economics, Mathematics, Statistics, Actuarial Science and Finance or equivalent years of experience.
• 6+ years in a fast-paced, cross-functional environment such as consulting, finance, economics, or business development
• Prior experience in Health Insurance (Individual and/or Small Employer) and/or Healthcare industry
• Experience with R, and/or Python
• Demonstrated ability to navigate ambiguity to drive to outcomes, work with large datasets and distill analyses into actionable business insights with a structured and systematic thought process

This is an authentic Oscar Health job opportunity.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency

Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI)

Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation

Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team ([e-mail]) to make the need for an accommodation known.

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