Senior Manager, Insurance Product and Benefit Design
Core
Owns the development of insurance plan designs across assigned markets, translating market strategy into applicable benefit structures and ensuring high-quality, compliant products.
Role type
Senior Manager, Insurance Product and Benefit Design
Builds
Health insurance plan designs, benefit structures, and regulatory filings
Domain
Health Insurance / US Healthcare Market
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Health insurance product design, ACA/QHP benefit design, regulatory filing processes, actuarial/regulatory/compliance/network team leadership, process optimization, market analysis, risk management, QA readiness reviews
Preferred skills
Standardized ACA plan design frameworks, product configuration systems, AV calculator strategies, portfolio management, SQL, advanced analytics tools
Responsibilities
Manage end-to-end plan design across assigned geographies, Translate market strategy and regulatory requirements into design decisions, Lead the product lifecycle from design through filing and post-launch, Promote agreement across actuarial and compliance teams, Establish operating rhythms for design and filing cycles, Mentor junior team members
Seniority
Senior Manager, operational leadership & mentorship
