Note: The job is a remote job and is open to candidates in USA. Leap is a benefits solutions company focused on improving the delivery, financing, access, and affordability of specialty drugs and infusion care. The Staff Product Manager will design, launch, operate, and scale specialty benefits programs while developing capabilities and partnerships, managing performance, and enabling sales and client success.
Responsibilities
- Own the design and evolution of Leap's specialty benefit programs
- Define program structure and rules, including participation requirements, member incentives, and clinical exceptions, and formalize them into plan terms and clinical criteria
- Translate business and client requirements into clear product, operational, and partner requirements
- Identify the capabilities, infrastructure, and partnerships Leap needs to operate these programs effectively
- Determine when to build capabilities internally versus partner externally
- Evaluate, select, negotiate, and contract with enabling partners, including TPAs, utilization management organizations, and other healthcare vendors
- Own partner performance, renewals, and renegotiation once they're live
- Establish the operating model, including prior authorization workflows, service-level expectations, exception handling, and escalation paths
- Own execution once live, making day-to-day product and operational decisions and resolving issues across internal and external partners
- Define and track performance across engagement, utilization, savings, member experience, and operational execution
- Use performance data and operational learnings to improve outcomes and build repeatable models that scale across clients
- Own and communicate the value proposition for these offerings across the organization
- Serve as the product and technical subject matter expert in key prospect and client conversations
- Partner with Sales and Client Success to translate client needs into the right structure and clearly communicate how it works
- Develop the customer segmentation and total addressable market (TAM) across different program configurations, and use it to prioritize which configurations to build and for which client segments
Skills
- Experience owning a healthcare product or offering from design through implementation and live operation
- Experience working directly with self-funded employers and TPAs, and navigating the operational dependencies required to implement benefit programs across employers, TPAs, health plans, networks, and utilization management partners
- Experience identifying capability gaps and building or contracting for solutions to address them
- Direct experience evaluating vendors and negotiating contracts and commercial terms
- Ability to make product and operational tradeoffs balancing member experience, client savings, and operational feasibility
- Comfortable serving as the product and technical expert in sales and client conversations
- Strong understanding of healthcare benefit design and utilization management mechanics
- Experience with specialty drugs, infusion therapy, buy-and-bill, or site-of-care programs
Company Overview
Company H1B Sponsorship