Health Plan Benefit Director

Harbor Health•,

1d•Remote

About The Position

Harbor Health is seeking a Health Plan Benefit Director to drive the design, development, and operationalization of health plan products across Individual and Family Plan (IFP) and employer lines of business. This is a non-technical, cross-functional leadership role that sits at the intersection of product strategy and operational execution. The ideal candidate brings deep knowledge of health plan benefit design and excels at aligning diverse internal and external stakeholders around a shared vision — contributing to our mission of transforming healthcare through our payvider model.

Requirements

Experience in health plan product development or benefit design within an IFP, employer, or managed care environment
Strong understanding of health insurance plan structures, benefit configurations, and regulatory frameworks including ACA and TDI
Demonstrated ability to lead cross-functional initiatives and align stakeholders across diverse teams
Excellent communication and relationship management skills — able to bridge strategic intent with operational execution
Comfortable working in a fast-paced, startup environment with evolving priorities and structures

Nice To Haves

Experience working within an integrated care or payvider model
Familiarity with Texas Department of Insurance (TDI) requirements and CMS regulations
Prior experience coordinating with actuarial, network, or clinical teams on product design initiatives
Background in operationalizing new health plan products from design through launch

Responsibilities

Lead end-to-end product development and benefit design for IFP and employer-sponsored health plans, from concept through operationalization
Own plan design decisions, ensuring benefit structures are competitive, compliant, and aligned with Harbor Health's payvider model and member-centered approach
Serve as the primary liaison across internal teams — including Operations, Clinical, Network, Actuarial, and Regulatory — to align on product intent and operational structure
Coordinate with external vendors and partners to ensure benefit and product strategies are communicated clearly and executed effectively
Translate complex plan design concepts into clear operational guidance for cross-functional teams
Monitor regulatory and market changes impacting IFP and employer products and proactively adjust product strategies as needed
Support the development of scalable processes and documentation as Harbor Health grows its product portfolio
Partner with Actuarial on pricing inputs and with Regulatory on filing and compliance requirements