[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 reputed company is on a mission to disrupt the outdated US reputed company system with a revolutionary payvidor model. The Product Manager, Benefits will design and build the reputed company of reputed company health plans, focusing on 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 Legal 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 companyʼs “payvidorˮ 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