Remote opportunity at
OSCAR ASSOCIATES (AMERICAS), LLCSenior Manager, Insurance Product and Benefit Design
Oscar Associates (Americas), LLC is hiring a Senior Manager, Insurance Product and Benefit Design for its Insurance Product Development team. Founded in 2012, the employer operates…
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About This Role
Oscar Associates (Americas), LLC is hiring a Senior Manager, Insurance Product and Benefit Design for its Insurance Product Development team. Founded in 2012, the employer operates as a health insurance company built on a proprietary technology platform. This full-time, remote position reports directly to the Vice President, Insurance Product Innovation and Development. The person in this role will take charge of insurance plan creation across designated markets, turning high-level strategy…
Job Description
Oscar Associates (Americas), LLC is hiring a Senior Manager, Insurance Product and Benefit Design for its Insurance Product Development team. Founded in 2012, the employer operates as a health insurance company built on a proprietary technology platform. This full-time, remote position reports directly to the Vice President, Insurance Product Innovation and Development.
The person in this role will take charge of insurance plan creation across designated markets, turning high-level strategy into actionable benefit structures while ensuring compliance and quality. Responsibilities include handling the entire product lifecycle from creation through regulatory filing, launch, and subsequent optimization. The candidate will establish disciplined operational workflows, collaborate with cross-functional groups such as actuarial and regulatory teams, and balance standardized frameworks with market-specific competitiveness.
Applicants must reside in Arizona, California, Colorado, Florida, Georgia, Illinois, Massachusetts, Michigan, Nevada, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Texas, or Virginia. The role also requires the willingness to travel up to 25 percent of the time.
Responsibilities
- Manage end-to-end plan design across assigned geographies, covering benefits, cost-sharing, and network considerations
- Translate market strategy, performance insights, and regulatory rules into clear design choices
- Lead product lifecycles from creation through regulatory filings, implementation, and post-launch tracking
- Serve as the product owner for design during regulatory filing procedures to guarantee accuracy across PBTs, SBCs, and internal platforms
- Drive agreement among actuarial, regulatory, compliance, network, and operational departments
- Enforce disciplined operating rhythms across filing and design cycles to respect timelines and deliverables
- Promote standardization and process optimization across markets to improve scalability and speed to market
- Lead continuous improvement initiatives by locating inefficiencies and deploying sustainable fixes
- Collaborate to ensure smooth execution from design to regulatory filing submission, approval, and objection monitoring
- Assess program success against financial, operational, and provider or member experience targets
- Balance standardized design frameworks with targeted local variations to preserve competitiveness
- Identify risks and direct the resolution of complex design and execution problems
- Lead quality assurance and go-to-market readiness reviews for compliant plan designs
- Analyze market, competitive, and regulatory data to guide strategy and positioning
- Mentor junior staff members and support the growth of team capabilities
Requirements
- Bachelor’s degree in business, healthcare, economics, finance, or a related field
- At least 6 years of experience in health insurance product and ACA or QHP benefit design with direct ownership over health plan design choices
- Expertise in ACA plan design, covering cost-sharing structures, metal towers, essential health benefits, and regulatory standards
- Experience leading regulatory filing processes, including PBT, SBC, and related documentation
- Operations experience following regimented processes tied to product development and regulatory filings, alongside recommendations for scale and optimization
- Experience operating inside complex, matrixed organizations
- Willingness to travel up to 25 percent of the time
Qualifications
- Experience defining or managing standardized ACA plan design frameworks across multiple markets
- Familiarity with product configuration systems and downstream filing workflows
- Experience with actuarial value calculator strategies and benefit design trade-off analysis
- Exposure to portfolio management and lifecycle optimization
- Experience using SQL or advanced analytics tools
- Prior experience working with ACA Individual Family Plan offerings
Core Skills
Benefits
- Medical, dental, and vision insurance
- Participation in an unlimited vacation program
- Annual performance bonuses
- 11 paid holidays
- Paid sick time
- Paid parental leave
- Participation in a 401(k) plan
- Life and disability insurance
- Paid wellness time and reimbursements
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
Is this position remote?
Yes, this is a remote or work-from-home role, but applicants must reside in Arizona, California, Colorado, Florida, Georgia, Illinois, Massachusetts, Michigan, Nevada, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Texas, or Virginia.
What is the salary range for this role?
For candidates residing in California, Connecticut, New Jersey, New York, and Washington, the base pay is $149,040 to $195,615 per year. For all other locations, the base pay is $134,136 to $176,053 per year.
What are the travel requirements?
The position requires a willingness to travel up to 25 percent of the time.
What experience is required to apply?
Applicants must hold a bachelor’s degree in business, healthcare, economics, finance, or a related field, alongside at least 6 years of experience in health insurance product and ACA or QHP benefit design.
Sample Interview Questions
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