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Firefly Health

👥 11-50💰 Series B about 2 years agoHospitalWellnessHealth Care💼 Private Company
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Firefly Health is an innovative healthcare company focused on providing personalized support and guidance to its members, utilizing advanced technologies to enhance the patient experience.

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Jobs at this company:

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🔥 Senior Product Manager, Health Plan
Posted 1 day ago

📍 United States

🔍 Healthcare

  • 7+ years of experience in product management, preferably in health plans, healthcare technology, or tech-enabled services.
  • Strong ability to translate business needs into product requirements and roadmaps.
  • Proven track record of launching and managing successful healthcare-related products in a fast-paced startup or growth-stage company.
  • Experience working with agile development methodologies and cross-functional teams.
  • Excellent analytical, problem-solving, and decision-making skills.
  • Strong communication and collaboration abilities, with the ability to influence stakeholders at all levels.
  • Familiarity with healthcare regulations (e.g., HIPAA), data analytics tools, A/B testing, and user research methodologies.
  • Experience in health plan administration, provider network management, or member engagement solutions is a plus.
  • Familiarity with JIRA preferred.
  • Contribute to defining the product strategy and lead the execution on the roadmap for Firefly’s health plan solutions, aligning with the company’s vision and business objectives to integrate care + coverage for cost-effective, high-quality healthcare.
  • Develop a deep understanding of key value propositions and differentiators for the Firefly Health Plan product and prioritize development effort around these key differentiators, ensuring cross functional alignment.
  • Lead the end-to-end product development lifecycle, from ideation and requirements gathering to prioritize, launch and iteration.
  • Work closely with engineering, operations and design teams to develop intuitive, scalable, and high-performance health plan products.
  • Partner with data science and actuarial teams to analyze utilization trends, cost drivers, and population health insights, translating findings into product enhancements that drive value for members and employers.
  • Gather and analyze customer feedback, regulatory requirements, market trends, and data insights to drive product decisions.
  • Define clear success metrics and track product performance to continuously optimize and improve.
  • Collaborate with stakeholders across clinical, sales, marketing, operations, and customer success to design and deliver innovative plan benefits, network strategies, and member experience that improve outcomes while reducing total cost of care.
  • Champion a member-first approach, leveraging user research, feedback loops, and engagement metrics to optimize plan offerings and service delivery.
  • Drive operational efficiency by partnering with Operations to identify, scope, and prioritize tech-forward opportunities to streamline processes between care delivery, claims processing, eligibility management, and member support.
  • Work with Marketing to develop a standard Product presentation for external use & internal training.
  • Stay up-to-date with industry trends, competitive landscape, and healthcare regulations to drive innovation, while maintaining compliance and regulatory alignment. Develop and maintain a detailed competitive analysis for Firefly offering vs. competitors.

SQLAgileData AnalysisProduct ManagementUser Experience DesignJiraProduct OperationsCross-functional Team LeadershipProduct DevelopmentProduct AnalyticsStrategic ManagementRESTful APIsData visualizationStakeholder managementA/B testing

Posted 1 day ago
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🔥 Director, Health Plan - Partner Operations
Posted 2 days ago

📍 United States

🔍 Health Tech

  • 7+ years of experience in partner management, health plan operations, project management, or TPA/vendor management.
  • Experience working in a health tech startup or fast-paced, high-growth environment is a plus.
  • Strong understanding of TPAs, PBMs, Medical Networks, utilization management, and other health plan vendor solutions.
  • Data-driven mindset with experience using analytics to track partner performance and inform decisions.
  • Highly organized, accountable, and detail-oriented, with the ability to juggle multiple complex initiatives.
  • Self-starter with strong executive presence, capable of leading high-stakes discussions with partners and internal leadership.
  • Comfortable working in a cross-functional and ambiguous environment, driving structure and clarity where needed.
  • Ability to balance strategic thinking with hands-on execution in a fast-paced environment.
  • Familiarity with customer ticketing systems (e.g., Zendesk) and operational analytics tools (e.g., Looker, Tableau).
  • Advanced proficiency in Microsoft Excel; experience with other data management tools is a plus.
  • Own and optimize operational relationships with health plan vendors and partners, including TPAs, PBMs, Network Partners, COBRA administrators, and point solution providers.
  • Serve as the primary point of contact for partner performance, issue resolution, and continuous improvement.
  • Establish and monitor KPIs to ensure vendors meet service-level agreements (SLAs) and deliver on key business objectives.
  • Identify opportunities to enhance operational efficiency, reduce costs, and improve customer experience through better vendor collaboration.
  • Lead end-to-end health plan implementation and renewal processes, coordinating internal and external teams to ensure seamless go-lives.
  • Develop and execute health plan partner and vendor implementation playbooks, timelines, and process improvements to streamline onboarding and renewals.
  • Proactively address risks, troubleshoot issues, and drive accountability among stakeholders.
  • Attend client and broker meetings as necessary, representing the partner and vendor aspects of Firefly customer implementations.
  • Work closely with Sales, Product, Operations, Technology and Customer Success to align partner strategy with business objectives.
  • Own and lead partner-related meetings, agendas, and reporting, ensuring clear accountability and data-driven decision-making.
  • Communicate effectively across all levels of the organization, from executives to operational teams.

Project ManagementSQLCross-functional Team LeadershipOperations ManagementAPI testingREST APIStrategic ManagementCommunication SkillsMicrosoft ExcelProblem-solving skillsAccount ManagementClient relationship managementProcess improvementData analytics

Posted 2 days ago
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🔥 Benefit Product & Health Plan Design Strategist
Posted about 1 month ago

📍 United States

🧭 Full-Time

🔍 Healthcare

  • Minimum of 7 years of experience in benefits design, healthcare consulting, actuarial analysis or a related field with deep understanding of employer-sponsored health plans and cost drivers.
  • Proven track record of implementing innovative benefit solutions that reduce costs and improve care outcomes via various member incentive structures.
  • Strong analytical skills with experience interpreting healthcare data (e.g., claims data, utilization trends).
  • Excellent communication and presentation skills.
  • Creative thinker with the ability to challenge traditional benefit design models.
  • Strong project management skills, including the ability to manage multiple initiatives simultaneously.
  • Knowledge of self-funded health plans and value-based care principles.
  • Be the in-house expert on benefit design, and develop a holistic re-design for our existing plans, as well as prospective plan designs for new segments like fully insured.
  • Develop and refine innovative benefits that drive improved outcomes while reducing total cost of care via various mechanisms including through our in house care solutions.
  • Leverage data analytics to identify cost drivers and design solutions that address those challenges without compromising quality of care.
  • Stay current on market trends, regulatory requirements, and emerging healthcare technologies to ensure benefit designs remain ahead of the curve.
  • Support sales efforts as SME. Present proposed plan design details to current and potential customers.
  • Work closely with internal teams (e.g., actuarial, clinical,  operations, sales & marketing) and external partners (e.g., clients, prospects and consultants) to evaluate and implement strategies.
  • Focus on improving member experiences by creating accessible, transparent, and easy-to-use benefits.
  • Develop materials and deliver presentations to educate clients and stakeholders on the value and impact of innovative benefit solutions.
  • Track the performance of benefit designs post-implementation and adjust as necessary to achieve optimal results.

Project ManagementData AnalysisExcellent communication skills

Posted about 1 month ago
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