Staff Product Manager, Specialty Benefits Programs

This is a fully remote position, open to applicants in United States.

📋 Description

• Take charge of the design and continuous improvement of Leap's specialized benefit programs.

• Establish program frameworks, participation criteria, member incentives, clinical exceptions, plan specifications, and clinical guidelines.

• Convert business and client requirements into product, operational, and partner specifications.

• Identify necessary capabilities, infrastructure, and partnerships.

• Determine whether to develop capabilities in-house or collaborate with external partners.

• Assess, select, negotiate, and formalize agreements with TPAs, utilization management firms, and healthcare providers.

• Manage partner performance, contract renewals, and renegotiations.

• Create operating models, prior authorization processes, service-level expectations, exception management, and escalation procedures.

• Oversee execution post-launch and make daily product and operational decisions.

• Address issues that arise with both internal and external partners.

• Define and monitor engagement, utilization, savings, member satisfaction, and operational effectiveness.

• Leverage data and operational insights to enhance outcomes and develop scalable models for various clients.

• Own and effectively communicate the value proposition.

• Act as the product and technical expert during discussions with prospects and clients.

• Collaborate with Sales and Client Success to align client needs with program structures.

• Create customer segmentation and assess the total addressable market for different program configurations.

• Prioritize which configurations to develop and target towards specific client segments.

⛳️ Requirements

• Proven experience managing a healthcare product or service from its design stage through implementation and operational execution.

• Direct experience working with self-funded employers and TPAs.

• Familiarity with navigating operational dependencies among employers, TPAs, health plans, networks, and utilization management partners.

• Experience in identifying capability gaps and either developing or sourcing solutions.

• Hands-on experience evaluating vendors and negotiating contracts and commercial terms.

• Ability to balance member experience, client cost savings, and operational practicality in product and operational decisions.

• Confidence in serving as the product and technical expert during sales and client discussions.

• Strong knowledge of healthcare benefit design and utilization management practices is preferred.

• Experience with specialty drugs, infusion therapy, buy-and-bill models, or site-of-care programs is preferred.

• Legally authorized to work in the United States.

• Must specify if US visa sponsorship is needed now or in the future.

🏝️ Benefits

• Equity / stock options.

• Competitive total rewards package.

• Comprehensive benefits.