Health Plan Benefit Director

Position Overview
At Harbor Health, were transforming healthcare in Texas through collaboration and innovation. Were seeking passionate individuals to help us create a member-centered experience that connects comprehensive care with a modern payment model. If youre ready to make a meaningful impact in a dynamic environment where your contributions are valued, please bring your talents to our team!

The Health Plan Benefit Director is responsible for driving 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.

Position Duties & 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 Healths 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

Desired Professional Skills & Experience
Required

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 (e.g., ACA, 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

Preferred

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

What We Offer

Opportunity to shape Harbor Healths IFP and employer product portfolio at a pivotal stage of organizational growth

Collaborative and dynamic work environment

An organization made of people who are passionate about changing the healthcare landscape

Competitive salary and benefits package

Professional development and growth opportunities

A transparent and unique culture

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