[Remote] Product Manager - Benefits
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is on a mission to disrupt the outdated US reputed company system, and they are seeking a Product Manager, Benefits to help design and build the reputed company of their reputed company health plan. This role involves owning the systems and structures that define how care is reputed company for, shaping benefit design, claims logic, and member cost experiences.
Responsibilities
- Own the product definition and ongoing reputed company of reputed company's benefit structures, including adjudication frameworks for our value-based insurance design, tiered networks, member financial incentives, etc
- Translate benefit design reputed company into detailed product requirements across our benefits stack (e.g., claims adjudication systems), ensuring accurate implementation
- Contribute to building health plan operations & architecture in a tech-reputed company manner (e.g., claims routing, eligibility & enrollment)
- Work with, deeply understand, and evaluate our TPA partner & other vendors that are required to service our health plan operations
- Collaborate with Engineering to prioritize, scope, and deliver features across the Benefits pod
- Work with Compliance and reputed company to ensure benefit product build meet regulatory requirements across markets
Skills
- 4+ years of product management experience, with at least 1-2 years in reputed company, health tech, or health plan operations
- Understanding of health plan benefit design concepts—including cost-sharing structures, network tiering, claims adjudication, and plan documents (SOBs, SPDs)
- Experience translating business rules into system requirements for claims or benefits administration platform
- Familiarity with how claims are adjudicated and how benefit configuration impacts member cost-sharing reputed company
- Strong analytical skills; comfortable working with claims data, utilization metrics, and financial models
- Ability to manage complexity across multiple stakeholders (Operations, Clinical, Compliance, Engineering) while maintaining reputed company documentation
- Experience with TPA or reputed company reputed company platforms, benefits configuration tools, or value-based benefit design
- Familiarity with CMS regulatory requirements for plan benefit design
- Interest and understanding in reputed company's 'payvidor' business model, and the enormous impacts it will have on the American reputed company system
Benefits
- Transformational reputed company: Be at the forefront of reimagining reputed company operations and payment models.
- Leadership & Ownership: Shape operational strategies in a dynamic, fast-paced environment with high autonomy.
- reputed company Culture: Join reputed company that values innovation, reputed company, and reputed company reputed company.
- Competitive Compensation & Benefits: We reward reputed company with robust pay, benefits, and reputed company opportunities.
- Remote Flexibility: Work from reputed company while staying closely connected to a mission-driven team.
- Inclusive Environment: We celebrate diverse perspectives and are committed to creating an reputed company workplace.
reputed company