Note: The job is a remote job and is open to candidates in USA. Harbor Health is on a mission to disrupt the outdated US healthcare system, and they are seeking a Product Manager, Benefits to help design and build the foundation of their next-generation health plan. This role involves owning the systems and structures that define how care is paid for, shaping benefit design, claims logic, and member cost experiences.
Responsibilities
- Own the product definition and ongoing evolution of Harbor's benefit structures, including adjudication frameworks for our value-based insurance design, tiered networks, member financial incentives, etc
- Translate benefit design decisions 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-forward 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 healthcare, 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 outcomes
- 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
- Experience with TPA or core admin platforms, benefits configuration tools, or value-based benefit design
- Familiarity with CMS regulatory requirements for plan benefit design
- Interest and understanding in Harbor Health's 'payvidor' business model, and the enormous impacts it will have on the American healthcare system
Benefits
- Transformational Impact: Be at the forefront of reimagining healthcare operations and payment models.
- Leadership & Ownership: Shape operational strategies in a dynamic, fast-paced environment with high autonomy.
- Collaborative Culture: Join a team that values innovation, integrity, and collective success.
- Competitive Compensation & Benefits: We reward top talent with robust pay, benefits, and growth opportunities.
- Remote Flexibility: Work from anywhere while staying closely connected to a mission-driven team.
- Inclusive Environment: We celebrate diverse perspectives and are committed to creating an equitable workplace.
Company Overview