Product Manager, Benefits

Job Summary

A company is looking for a Product Manager - Benefits to design and build the foundation of a next-generation health plan.

Key Responsibilities

• Own the product definition and evolution of benefit structures, including adjudication frameworks
• Translate benefit design decisions into detailed product requirements for claims adjudication systems
• Collaborate with Engineering and other teams to prioritize and deliver features across the Benefits pod

Required Qualifications

• 3-5 years of product management experience, with 1-2 years in healthcare or health plan operations
• Understanding of health plan benefit design concepts, including cost-sharing structures and claims adjudication
• Experience translating business rules into system requirements for benefits administration platforms
• Strong analytical skills, comfortable working with claims data and financial models
• Interest in the payvidor business model and its impact on the healthcare system