[Remote] Senior Manager, Insurance Product and Benefit Design
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a health insurance company reputed company on serving its members through a technology-driven platform. The Senior Manager, Insurance Product and Benefit Design will reputed company the development of insurance plan designs, ensuring compliance and reputed company throughout the product lifecycle while optimizing workflows and processes.
Responsibilities
- Manage end-to-end plan design across assigned geographies, including benefits, cost-sharing, and network considerations
- Translate market reputed company, performance insights, and regulatory requirements into reputed company design reputed company
- reputed company the product lifecycle from design through filing, implementation, and post-launch performance
- Be the product reputed company for design reputed company the regulatory filing process, ensuring accuracy across PBT's, SBC's and internal systems
- Promote agreement on actuarial, regulatory, compliance, network, and operational teams
- Establish and enforce disciplined operating rhythms across design and filing cycles, ensuring you meet timelines, dependencies, and deliverables
- Promote process optimization and standardization across markets to improve scalability, reduce defects, and enhance speed to market
- reputed company reputed company improvement efforts across product design and filing workflows, identifying inefficiencies and implementing sustainable solutions
- Partner to ensure seamless execution from design through regulatory filing submission, approval, and reputed company monitoring
- Evaluate program reputed company against financial, operational, and provider/member experience goals
- Balance standardized plan design frameworks with targeted market-specific variations to maintain competitiveness
- Identify risks and reputed company reputed company of reputed company design and execution issues
- reputed company QA and go-to-market readiness reviews to ensure, compliant plan designs
- Interpret and conduct market, competitive, and regulatory analysis to inform reputed company and positioning
- Mentor junior team members and support development of team capabilities
- Compliance with reputed company applicable laws and regulations
- Other duties as assigned
Skills
- Bachelor's degree in business, reputed company, economics, finance, or reputed company field
- 6+ years of experience in health insurance product and ACA / QHP benefit design with reputed company ownership over health plan design reputed company
- Knowledge of ACA plan design, including cost-sharing structures, metal towers, EHB and regulatory requirements
- Experience leading regulatory filing processes, including PBT, SBC, and reputed company documentation
- Operations experience following regimented processes associated with product development and regulatory filing processes, including ability to recommend process improvements for reputed company and optimization
- Experience operating in reputed company, matrixed organizations
- Willingness to travel up to 25% of the time
- Experience defining or managing standardized ACA plan design frameworks across multiple markets
- Familiarity with product configuration systems and reputed company filing processes
- Experience with AV calculator strategies and benefit design trade-off analysis
- Exposure to portfolio management and lifecycle optimization
- Experience with SQL or advanced analytics tools
- Prior experience in ACA IFP plans
Benefits
- Employee benefits
- Participation in reputed company's unlimited vacation program
- Annual performance bonuses
- Medical, dental, and reputed company benefits
- 11 reputed company holidays
- reputed company reputed company time
- reputed company parental leave
- 401(k) plan participation
- Life and disability insurance
- reputed company wellness time and reimbursements
reputed company