Senior Manager, Clinical & Disease Specific Insurance Solutions

<p>Hi, we're Oscar. We're hiring an Senior Manager, Clinical Disease Specific Insurance Solutions to join our Insurance Product Development team.</p> <p>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.</p> <p><strong>About the role:</strong></p> <p>The Senior Manager, Clinical Disease Specific Insurance Solutions, owns the end to end lifecycle of insurance products designed to serve members with specific clinical needs or disease profiles (e.g., diabetes, COPD). This role is accountable for product strategy, benefit design, launch, performance management, and ongoing optimization, ensuring plans improve access, remove barriers to care, improve clinical outcomes, and affordability, while remaining compliant and operationally scalable.</p> <p>You will report into the Vice President, Insurance Product Innovation and Development</p> <p><strong>Work Location: </strong>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. #LI-Remote</p> <p><strong>Pay Transparency: </strong>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.</p> <p><strong>Responsibilities:</strong></p> <ul> <ul> <li> <p data-pm-slice="1 3 []">Clinical Disease Specific Plan Strategy Design</p> <ul> <li> <p>Own the full end to end lifecycle of clinical and disease specific insurance products from ideation/strategy and benefit design through launch, performance management, and optimization aligned to outcomes, regulatory requirements, affordability and growth objectives</p> </li> <li> <p>Build and manage business cases for new and existing products, including financial modeling, membership projections, and ongoing performance tracking against goals</p> </li> <li> <p>Analyze product performance using financial and membership metrics to forecast results, identify risks and opportunities, and inform decision-making</p> </li> <li> <p>Lead benefit design for disease-specific plans, including augmenting existing offerings, remediating underperforming designs, and introducing new benefit structures informed by clinical insight, utilization patterns, and product performance</p> </li> <li> <p>Design and manage product portfolios aligned to defined clinical populations, such as members with chronic conditions, high cost, or high utilization profiles, or condition specific care needs</p> </li> <li> <p>Contribute to annual planning, roadmap development, and prioritization for clinical and disease-specific products</p> </li> <li> <p>Identify risks, gaps, and opportunities across benefit design, performance, affordability, and access, recommending corrective actions as needed</p> </li> </ul> <p> </p> <p>Execution, Filings and Regulatory Alignment</p> <ul> <li> <p>Responsible for execution of clinical plan designs through internal approvals, filings and supporting documentation</p> </li> <li> <p>Partner with regulatory and legal teams and incorporate federal and state regulatory guidance, clinical mandates and medical policy changes into plan designs and pricing inputs.</p> </li> <li> <p>Ensure compliance with all applicable laws, regulations, and internal governance standards</p> </li> </ul> <p> </p> <p>Cross Functional Leadership Collaboration</p> <ul> <li> <p>Serve as the primary product directly responsible individual (DRI) for clinical plans, coordinating ... (truncated, view full listing at source)