Manager, Insurance Product and Benefit Design

This is a fully remote position, open to applicants in Arizona, +14 more states.

📋 Description

• Assist in the development of insurance plan designs, encompassing benefits, cost-sharing, and network frameworks.

• Transform strategic objectives and regulatory mandates into comprehensive, actionable benefit configurations.

• Ensure that plan designs are accurately represented across internal systems and in regulatory submissions.

• Collaborate with actuarial, regulatory, and compliance teams to affirm benefit structures and cost-sharing agreements.

• Facilitate the execution of the product lifecycle from design to filing, implementation, and launch readiness.

• Uphold structured operating rhythms throughout design and filing cycles, ensuring that timelines, dependencies, and deliverables are consistently achieved.

• Enhance process optimization and standardization across markets to boost scalability, minimize defects, and accelerate time to market.

• Spearhead continuous improvement initiatives within product design and filing workflows, pinpointing inefficiencies and implementing sustainable solutions.

• Conduct quality assurance across plan designs, filings, and system configurations to guarantee accuracy and compliance.

• Recognize and escalate inconsistencies or risks in design and execution.

• Coordinate with partners to ensure precise delivery of plans.

• Assist in market, competitive, and regulatory analyses to guide plan design choices.

• Aid in monitoring plan performance and identifying opportunities for improvement post-launch.

• Ensure compliance with all relevant laws and regulations.

• Perform additional duties as assigned.

⛳️ Requirements

• Bachelor’s degree in business, healthcare, economics, finance, or a related discipline.

• Over 5 years of experience in health insurance products, ACA benefit design, regulatory filings, or equivalent roles.

• Experience in operations following structured processes related to product development and regulatory filing, with the ability to suggest process enhancements for scaling and optimization.

• Familiarity with the ACA and small group plan design, including cost-sharing structures, metal tiers, and essential health benefits.

• Background in supporting regulatory filings and/or working with filing artifacts (e.g., PBTs, SOBs, SBCs).

• Strong attention to detail with a track record of managing complex benefit configurations across systems and documentation.

• Proven experience working in cross-functional, matrixed environments (e.g., actuarial, finance, regulatory, network, and operations).

• Demonstrated capability to analyze data and support decisions regarding design and execution.

• Willingness to travel up to 25% of the time.

🏝️ Benefits

• Health insurance.

• 401(k) plan participation.

• Unlimited vacation program.

• Company equity grants.

• Annual performance bonuses.

• Paid holidays.

• Paid sick time.

• Paid parental leave.

• Life and disability insurance.

• Paid wellness time and reimbursements.