Oscar is a health insurance company that focuses on serving its members through a technology platform. They are seeking a Senior Manager for Speciality / Ancillary Products to lead the strategy and execution of ancillary insurance products, primarily dental and vision, while managing vendor relationships and ensuring regulatory compliance.
Responsibilities:
- Ancillary Product Strategy & Portfolio Management
- In partnership with leader, drives the ancillary product strategy and roadmap across dental, vision and other ancillary offerings (e.g. hearing, fitness, over the counter benefits, wellness and other insurance add-on products)
- Owns the full end-to-end lifecycle of ancillary products, including dental and vision insurance offerings, from ideation and benefit design through launch, performance management, and ongoing optimization
- Build and manage business cases for new and existing products, including financial modeling, membership projections, and ongoing performance tracking against goals
- Analyze product performance using financial and membership metrics to forecast results, identify risks and opportunities, and inform decision-making
- Lead benefit design for ancillary products, including augmenting existing offerings, remediating underperforming designs, and introducing new benefit structures for specific consumer populations, based on performance, member needs, and market dynamics
- Contribute to annual planning, roadmap development, and prioritization for ancillary products
- Vendor Implementation Lead & Management
- Business lead for end to end implementation of ancillary vendors, serving as the primary product DRI and escalation point for dental and vision vendors and provide oversight for ancillary vendors
- Define and manage vendor requirements, SLAs, KPIs and performance scorecards
- Partner with procurement, legal and compliance on vendor selection, contracting, renewals and performance governance
- Drive timely issue resolution and root cause remediation with vendors to prevent repeat issues
- Serves as a member of the Joint Operating Committee (JOC) for ancillary products, in partnership with Network, and leadership, including agenda setting, performance reviews, issue tracking, and follow-through on commitments
- Identify risks, gaps, and opportunities across benefit design, product performance, and execution, including recommendation of corrective actions
- Execution, Filings & Regulatory Alignment
- Partner with Actuarial and Finance teams to evaluate pricing, unit economics, and profitability tradeoffs, to inform benefit and portfolio decisions
- Collaborate with Regulatory and Legal teams to ensure ancillary products comply with federal and state requirements and are filed, updated, and approved as needed
- Oversee ancillary product QA, attestations and final sign off prior to filing submissions
- Ensure compliance with all applicable laws, regulations, and internal governance standards
- Cross Functional Leadership & Governance
- Act as the single accountable product owner for ancillary benefits- coordinating across teams
- Translate vendor capabilities and regulatory constraints into clear product requirements
- Influence senior leaders with clear data-driven recommendations and risk assessments
- Post Launch Performance & Optimization
- Develop and maintain regular performance reporting and product look-backs, assessing financial, operational, clinical, and member experience outcomes
- Use analytics and business intelligence tools (e.g., Looker) to pull, analyze, and interpret data related to utilization, cost, engagement, retention, and vendor performance
- Carry forward learnings to future cycles to improve scalability, reduce risk and enhance member outcomes
- Data Driven Decision Making
- Leverage enrollment, utilization, cost, quality and vendor performance data to inform ancillary product strategy
- Identify trends and risks early and proactively adjust product or vendor strategies
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements:
- 6+ years of experience developing, managing, or supporting commercial insurance products, with direct ownership of ancillary (dental, vision, supplemental health) offerings, with Strong understanding of regulatory requirements impacting ancillary benefits
- 5+ years of expertise in Dental and Vision product design and vendor implementation
- 4+ years of Proven experience managing delegated vendors and complex operational partnerships
- 4 + years experience with ACA, including individual market place and small group products
- 3+ years of experience with product lifecycle management for ancillary offerings
- 3+ years experience making data-driven decision and using business intelligence tools to analyze product performance
- Travel up to 25% of the time
- Bachelor's degree in business, healthcare, analytics, or related field
- Experience with ancillary insurance products (e.g., dental, vision, supplemental benefits)
- Proficiency with business intelligence tools, experience with SQL, Excel, or similar tools
- Experience supporting or participating in Joint Operating Committee or vendor governance forums