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Manager, Insurance Product and Benefit Design
Oscar Health. Develop insurance plan designs, including benefits, cost-sharing, and network structures .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in health insurance product design, regulatory compliance, and benefit configuration, with a strong focus on process optimization and cross-functional collaboration. Proficient in managing complex benefit structures and ensuring alignment with regulatory requirements.
Highest-signal resume keywords
Health Insurance Product DesignRegulatory FilingsProcess OptimizationData AnalysisCross-Functional Collaboration
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Benefit ConfigurationCost-Sharing StructuresACA KnowledgeSQLData ToolsQA ProcessesPlan DevelopmentRegulatory ValidationProduct Systems ConfigurationMarket Analysis
Soft Skills
Attention to DetailProblem-SolvingCommunicationTeam CoordinationAdaptability
Tools & Technologies
AV CalculatorsSBC Calculators
Industry Keywords
Health InsuranceSmall Group PlansMetal TiersEssential Health BenefitsMulti-State Product Environments
Tech Stack
Tools & technologiesSQL
About the role
Key responsibilities & impact- 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 agreements
- Support the product lifecycle from design through filing, implementation, and launch readiness
- Maintain operating rhythms across design and filing cycles, ensuring timelines, dependencies, and deliverables are met
- Improve process optimization and standardization across markets
- Lead continuous improvement efforts across product design and filing workflows
- Perform QA across plan designs, filings, and system configurations
- Identify and escalate 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
- Monitor plan performance and identify post-launch improvement opportunities
- Comply with all applicable laws and regulations
- Perform other duties as assigned
Requirements
What you’ll need- 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
- Operations experience following regimented processes associated with product development and regulatory filing processes
- Ability to recommend process improvements for scale and optimization
- 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
- Ability to analyze data and support design and execution decisions
- Willingness to travel up to 25% of the time
- Experience configuring or supporting plan builds in product systems
- Familiarity with AV calculators, SBC calculators, and regulatory validation processes
- Exposure to multi-state product environments and varying regulatory requirements
- Experience supporting plan development, including QA and go-to-market readiness
- Prior experience in ACA or small group lines of business
- Experience with SQL or data tools
Benefits
Comp & perks- Employee benefits
- Unlimited vacation program
- Company equity grants
- Annual performance bonuses
- Medical benefits
- Dental benefits
- Vision benefits
- 11 paid holidays
- Paid sick time
- Paid parental leave
- 401(k) plan participation
- Life insurance
- Disability insurance
- Paid wellness time and reimbursements