Associate Director, Individual and Family Plan Insurance Solutions

📋 Description

• • Lead the strategic vision and design direction for complex or multi-market Individual and Family Plan (IFP) insurance portfolios, ensuring alignment with Oscar's overarching market strategy and enterprise priorities.
• • Translate high-level market strategies and actuarial targets into actionable and executable plan designs that meet regulatory requirements and competitive demands.
• • Drive the development of innovative and differentiated product concepts that go beyond traditional benefit design, aiming to create unique value propositions for members.
• • Maintain rigorous control over the execution of plan designs, meticulously managing timelines, identifying and mitigating dependencies, and ensuring the highest quality of output throughout the product lifecycle.
• • Champion a forward-thinking approach to product development, actively seeking opportunities to introduce market-leading features and benefits that enhance member experience and competitive positioning.
• • Utilize a data-driven approach, leveraging both quantitative performance metrics and qualitative member feedback to inform strategic decisions, refine plan designs, guide execution, and assess post-launch effectiveness.
• • Take full ownership of the end-to-end lifecycle for assigned IFP portfolios, encompassing the entire process from initial design and development through to regulatory filings and final launch readiness.
• • Ensure a balance between maintaining cross-market consistency where strategically important and enabling intentional, localized differentiation to cater to specific regional needs and opportunities.
• • Collaborate closely with the Actuarial team to ensure a seamless integration and alignment between pricing strategies, actuarial value targets, and the detailed specifications of benefit designs.
• • Uphold stringent control over execution timelines, proactively manage project dependencies, and guarantee the quality and integrity of all deliverables throughout the product development and launch phases.
• • Act as a senior approver for all plan designs, regulatory filings, and critical submission documents, ensuring compliance and strategic alignment.
• • Establish, implement, and enforce robust Quality Assurance (QA) standards, readiness checks, and control points to guarantee the accuracy and compliance of all product-related activities.
• • Proactively identify, analyze, and resolve complex issues related to regulations, design intricacies, and execution challenges, escalating matters to senior leadership when necessary.
• • Share accountability for the performance of live IFP plans with broader leadership and Senior Managers, contributing to ongoing success and member satisfaction.
• • Lead comprehensive cross-market issue remediation efforts, conducting thorough root-cause analyses and implementing effective corrective actions to address any performance gaps or member concerns.
• • Systematically capture and institutionalize learnings from post-launch performance and issue resolution into future design and execution playbooks, fostering continuous improvement.
• • Provide strong leadership and guidance to Senior Managers and Managers responsible for market execution, fostering a high-performance culture and driving accountability.
• • Serve as a trusted strategic thought partner to key stakeholders across various departments, including Market Directors, Actuarial, Network, and Regulatory teams, offering expert insights and recommendations.
• • Coach and mentor team members on critical decision-making, effective tradeoff management, and the principles of disciplined, high-quality execution.
• • Ensure strict adherence to all applicable federal, state, and local laws and regulations governing health insurance products.
• • Perform other duties as assigned to support the broader goals and objectives of the Insurance Product Development team and Oscar Health.
• • This role requires a strategic thinker with a deep understanding of the Individual and Family Plan (IFP) insurance market, capable of navigating complex regulatory landscapes and driving product innovation.
• • You will be instrumental in shaping the future of Oscar's IFP offerings, ensuring they are competitive, compliant, and meet the evolving needs of our members.
• • The position demands a blend of strategic planning, product design expertise, cross-functional collaboration, and strong leadership capabilities to successfully manage multiple markets and complex product lines.
• • You will be a key decision-maker, responsible for guiding product strategy from conception through to market launch and ongoing performance management.
• • This is an opportunity to make a significant impact on Oscar's growth and success in the individual health insurance market, contributing to our mission of making healthcare affordable and accessible.
• • The role involves close collaboration with various internal teams, including Actuarial, Network, Marketing, Sales, and Regulatory Affairs, to ensure cohesive product development and successful market entry.
• • You will be expected to stay abreast of industry trends, competitive activities, and regulatory changes to proactively adapt product strategies and designs.
• • The Associate Director will play a crucial role in identifying new market opportunities and developing innovative solutions to address unmet member needs.
• • Success in this role will be measured by the strategic impact of the product designs, the quality and timeliness of execution, and the overall performance of the IFP portfolios under your purview.
• • This position offers a unique opportunity to influence the direction of a rapidly growing health insurance company that is leveraging technology to redefine the member experience.