Summary
Oscar Health is a health insurance company built around a full-stack technology platform and a focus on serving its members. The Associate, Insurance Product & Benefit Execution supports the development and delivery of ACA Individual and Small Group product filings by translating product designs into filing outputs, coordinating cross-functional deliverables, and ensuring accuracy and compliance. The role also supports regulatory objection responses, quality assurance, documentation, and process improvement.
Responsibilities
- Support development of product-specific components of ACA filings, including benefits, cost-sharing structures, and plan design attributes
- Translate product designs into required formats using internal systems and tools to support simpler filings (e.g., portfolio filing extract tools)
- Ensure accuracy and alignment of product data across filing artifacts and internal systems
- Partner with product managers to validate plan designs and resolve system discrepancies
- Support analysis and resolution of regulatory objections, including DOI and CMS feedback
- Coordinate with Insurance Product, Technology, Compliance, and Actuarial teams to develop and implement required updates
- Execute against objections, timelines, and resolutions to ensure timely responses
- Maintain documentation of changes and decisions for audibility and consistency
- Partner with Product, Actuarial, Technology, and Compliance teams to gather inputs and align on filing related deliverables
- Communicate requirements, timelines, and dependencies clearly across stakeholders
- Support alignment between product design and downstream filing / implementation processes
- Maintain trackers and documentation to monitor filing deliverables, dependencies, and timelines
- Ensure completion and quality of assigned deliverables across multiple markets
- Identify inconsistencies, risks, or gaps in product data and escalate as needed
- Support continuous improvement of filing workflows, tools, and documentation processes
- Validate product data across systems and filing outputs to ensure consistency and compliance with internal processes
- Support QA processes for product-related filing components prior to submission
- Assist in auditing outputs to ensure alignment with approved product designs
- Ensure compliance with all applicable laws and regulations
- Other duties as assigned
Skills
- Bachelor's degree in Business, Healthcare, Economics, Mathematics, Statistics, Finance, or related field or equivalent work experience
- 3+ years of experience in product, analytics, strategy, consulting, or insurance-related roles
- Exposure to ACA individual and QHP products (including Small Group)
- Strong attention to detail and ability to manage multiple deliverables simultaneously
- Ability to work cross-functionally in a fast-paced, deadline driven environment
- Experience operating in cross-functional, fast-paced environments
- Strong analytical, structured problem-solving, and communication skills
- Willingness to travel to 25% of the time
- Familiarity with ACA plan design concepts (e.g., EHB's, limit language)
- Experience with Oscar internal product configuration and filing systems
- Experience managing trackers, deliverables, and project coordination tasks
- Strong excel and data management skills
Qualifications
Must Haves
- Bachelor's degree in Business, Healthcare, Economics, Mathematics, Statistics, Finance, or related field or equivalent work experience
- 3+ years of experience in product, analytics, strategy, consulting, or insurance-related roles
- Exposure to ACA individual and QHP products (including Small Group)
- Strong attention to detail and ability to manage multiple deliverables simultaneously
- Ability to work cross-functionally in a fast-paced, deadline driven environment
- Experience operating in cross-functional, fast-paced environments
- Strong analytical, structured problem-solving, and communication skills
- Willingness to travel to 25% of the time
Nice to Haves
- Familiarity with ACA plan design concepts (e.g., EHB's, limit language)
- Experience with Oscar internal product configuration and filing systems
- Experience managing trackers, deliverables, and project coordination tasks
- Strong excel and data management skills
Benefits
- Remote / work-from-home role
- Annual performance bonuses
- Oscar's unlimited vacation program
- 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