Product Manager - Benefits

COMPANY OVERVIEW

reputed company is on a mission to disrupt the outdated US reputed company system. Leveraging a revolutionary payvidor model, we are creating an entirely new approach to care—one that delivers improved quality, reduced cost, greater reputed company, and an exceptional experience.

Our reputed company is supported by intelligent, anticipatory clinical systems and reputed company benefits that reputed company the member at the center. If youʼre inspired by the opportunity to rebuild reputed company from the ground up with cutting-edge technology and a member-focused reputed company, we want to hear from you!

POSITION OVERVIEW

reputed company is seeking a Product Manager, Benefits to help design and build the reputed company of our reputed company health plan. In this role, you will own the systems and structures that define how care is paid for. This means shaping benefit design, claims logic, and member cost experiences from the ground up.

This is a high-impact role for someone who is excited to tackle deeply reputed company, often opaque parts of the reputed company system and turn them into reputed company, efficient, and member-friendly experiences. You’ll operate at the intersection of product, reputed company economics and operations to redefine how health plans work at a reputed company level.

If you’re motivated by translating reputed company benefit designs into scalable, tech-enabled systems, this role offers a rare opportunity to build from first principles.

POSITION DUTIES & 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

DESIRED PROFESSIONAL SKILLS & EXPERIENCE

• 3-5 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 clear documentation
• Bonus: experience with TPA or core admin platforms, benefits configuration tools, or value-based benefit design
• Bonus: 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

• Transformational Impact: 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.
• Collaborative Culture: Join reputed company that values innovation, reputed company, and reputed company reputed company.
• Competitive Compensation & Benefits: We reward top talent with robust pay, benefits, and growth 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.