Harbor Health is seeking a Health Plan Benefit Director to drive the design, development, and operationalization of health plan products across Individual and Family Plan (IFP) and employer lines of business. This is a non-technical, cross-functional leadership role that sits at the intersection of product strategy and operational execution. The ideal candidate brings deep knowledge of health plan benefit design and excels at aligning diverse internal and external stakeholders around a shared vision — contributing to our mission of transforming healthcare through our payvider model.POSITION DUTIES & RESPONSIBILITIESLead end-to-end product development and benefit design for IFP and employer-sponsored health plans, from concept through operationalizationOwn plan design decisions, ensuring benefit structures are competitive, compliant, and aligned with Harbor Health's payvider model and member-centered approachServe as the primary liaison across internal teams — including Operations, Clinical, Network, Actuarial, and Regulatory — to align on product intent and operational structureCoordinate with external vendors and partners to ensure benefit and product strategies are communicated clearly and executed effectivelyTranslate complex plan design concepts into clear operational guidance for cross-functional teamsMonitor regulatory and market changes impacting IFP and employer products and proactively adjust product strategies as neededSupport the development of scalable processes and documentation as Harbor Health grows its product portfolioPartner with Actuarial on pricing inputs and with Regulatory on filing and compliance requirementsDESIRED PROFESSIONAL SKILLS & EXPERIENCERequired:Experience in health plan product development or benefit design within an IFP, employer, or managed care environmentStrong understanding of health insurance plan structures, benefit configurations, and regulatory frameworks including ACA and TDIDemonstrated ability to lead cross-functional initiatives and align stakeholders across diverse teamsExcellent communication and relationship management skills — able to bridge strategic intent with operational executionComfortable working in a fast-paced, startup environment with evolving priorities and structuresPreferred:Experience working within an integrated care or payvider modelFamiliarity with Texas Department of Insurance (TDI) requirements and CMS regulationsPrior experience coordinating with actuarial, network, or clinical teams on product design initiativesBackground in operationalizing new health plan products from design through launchWHAT WE OFFERCompetitive salary and incentivesGenerous PTO10 paid holidaysMedical, Dental, and Vision Insurance401(k) Investment PlanCompany EquityProfessional development and growth opportunitiesAt Harbor Health, we're transforming healthcare in Texas through collaboration and innovation. We're seeking passionate individuals to help us create a member-centered experience that connects comprehensive care with a modern payment model. If you're ready to make a meaningful impact in a dynamic environment where your contributions are valued, please bring your talents to our team!

Health Plan Benefit Director

Emma

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