Benefit Product & Health Plan Design Strategist

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Requirements:

• 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.

Responsibilities:

• 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.