Manager, Insurance Product and Benefit Design
Core
Develop health insurance plan designs, translating market strategy and regulatory requirements into detailed benefit configurations, cost-sharing structures, and network setups.
Role type
Manager, Insurance Product and Benefit Design
Builds
Health insurance plans and benefit packages
Domain
Health Insurance / Regulatory Compliance
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Health insurance product design, ACA benefit design, regulatory filings, process optimization, cross-functional collaboration, data analysis, QA for plan designs
Preferred skills
Product system configuration, AV/SBC calculators, multi-state product environments, SQL
Responsibilities
Develop insurance plan designs including benefits and cost-sharing; Translate strategic direction into executable benefit configurations; Ensure plan designs are reflected across internal systems and regulatory filings; Partner with actuarial and compliance teams to validate benefit structures; Support execution of the product lifecycle from design through launch; Improve process optimization and standardization across markets; Perform QA across plan designs and filings; Coordinate across partners to ensure accurate delivery of plans; Support market and regulatory analysis to inform design decisions.
Seniority
Manager, hands-on IC with team coordination
