Senior Manager Insurance Product
Job Summary
The Senior Manager, Insurance Product and Benefit Design leads the end-to-end development of insurance plan designs across assigned markets. This role bridges market strategy with regulatory requirements, ensuring high-quality, compliant product execution. You will drive operational processes, optimize workflows for scale, and oversee product performance from design through post-launch.
Responsibilities
- Manage end-to-end plan design and product lifecycle
- Lead regulatory filing and compliance accuracy
- Drive process optimization and standardization
- Analyze market data to inform strategy and positioning
- Mentor junior team members
Required Skills
- 6+ years in ACA/QHP benefit design
- Regulatory filing expertise (PBT, SBC)
- Strong analytical and operations background
- Experience in complex matrixed environments
- Bachelor's degree in business or related field
Job Details
Job Responsibilities:
- Manage end-to-end plan design across assigned geographies, including benefits, cost-sharing, and network considerations.
- Translate market strategy, performance insights, and regulatory requirements into clear design decisions.
- Lead the product lifecycle from design through filing, implementation, and post-launch performance.
- Be the product owner for design within the regulatory filing process, ensuring accuracy across PBT's, SBC's and internal systems.
- Promote agreement on actuarial, regulatory, compliance, network, and operational teams.
- Establish and enforce disciplined operating rhythms across design and filing cycles, ensuring you meet timelines, dependencies, and deliverables.
- Promote process optimization and standardization across markets to improve scalability, reduce defects, and enhance speed to market.
- Lead continuous improvement efforts across product design and filing workflows, identifying inefficiencies and implementing sustainable solutions.
- Partner to ensure seamless execution from design through regulatory filing submission, approval, and objection monitoring.
- Evaluate program success against financial, operational, and provider/member experience goals.
- Balance standardized plan design frameworks with targeted market-specific variations to maintain competitiveness.
- Identify risks and lead resolution of complex design and execution issues.
- Lead QA and go-to-market readiness reviews to ensure, compliant plan designs.
- Interpret and conduct market, competitive, and regulatory analysis to inform strategy and positioning.
- Mentor junior team members and support development of team capabilities.
- Compliance with all applicable laws and regulations.
- Other duties as assigned.
Requirements:
- Bachelor's degree in business, healthcare, economics, finance, or related field.
- 6+ years of experience in health insurance product and ACA / QHP benefit design with direct ownership over health plan design decisions.
- Knowledge of ACA plan design, including cost-sharing structures, metal towers, EHB and regulatory requirements.
- Experience leading regulatory filing processes, including PBT, SBC, and related documentation.
- Operations experience following regimented processes associated with product development and regulatory filing processes.
- Experience operating in complex, matrixed organizations.
- Willingness to travel up to 25% of the time.