Product Manager - Benefits

COMPANY OVERVIEWHarbor Health is on a mission to disrupt the outdated US healthcare system. Leveraging a revolutionary payvidor model, we are creating an entirely new approach to care—one that delivers improved quality, reduced cost, greater access, and an exceptional experience.Our vision is supported by intelligent, anticipatory clinical systems and aligned benefits that place the member at the center. If youʼre inspired by the opportunity to rebuild healthcare from the ground up with cutting-edge technology and a member-focused mindset, we want to hear from you!POSITION OVERVIEWHarbor Health is seeking a Product Manager, Benefits to help design and build the foundation of our next-generation health plan. In this role, you will own the systems and structures that define how care is paid for. This means shaping benefit design, claims logic, and member cost experiences from the ground up.This is a high-impact role for someone who is excited to tackle deeply complex, often opaque parts of the healthcare system and turn them into intuitive, efficient, and member-friendly experiences. You’ll operate at the intersection of product, healthcare economics and operations to redefine how health plans work at a fundamental level.If you’re motivated by translating complex benefit designs into scalable, tech-enabled systems, this role offers a rare opportunity to build from first principles.POSITION DUTIES & RESPONSIBILITIESOwn the product definition and ongoing evolution of Harbor's benefit structures, including adjudication frameworks for our value-based insurance design, tiered networks, member financial incentives, etc.Translate benefit design decisions into detailed product requirements across our benefits stack (e.g., claims adjudication systems), ensuring accurate implementationContribute to building health plan operations & architecture in a tech-forward manner (e.g., claims routing, eligibility & enrollment)Work with, deeply understand, and evaluate our TPA partner & other vendors that are required to service our health plan operationsCollaborate with Engineering to prioritize, scope, and deliver features across the Benefits podWork with Compliance and Legal to ensure benefit product build meet regulatory requirements across marketsDESIRED PROFESSIONAL SKILLS & EXPERIENCE3-5 years of product management experience, with at least 1-2 years in healthcare, health tech, or health plan operationsUnderstanding of health plan benefit design concepts—including cost-sharing structures, network tiering, claims adjudication, and plan documents SOBs, SPDs)Experience translating business rules into system requirements for claims or benefits administration platformFamiliarity with how claims are adjudicated and how benefit configuration impacts member cost-sharing outcomesStrong analytical skills; comfortable working with claims data, utilization metrics, and financial modelsAbility to manage complexity across multiple stakeholders Operations, Clinical, Compliance, Engineering) while maintaining clear documentationBonus: experience with TPA or core admin platforms, benefits configuration tools, or value-based benefit designBonus: familiarity with CMS regulatory requirements for plan benefit designInterest and understanding in Harbor Healthʼs “payvidorˮ business model, and the enormous impacts it will have on the American healthcare systemWHAT WE OFFERTransformational Impact: Be at the forefront of reimagining healthcare operations and payment models.Leadership & Ownership: Shape operational strategies in a dynamic, fast-paced environment with high autonomy.Collaborative Culture: Join a team that values innovation, integrity, and collective success.Competitive Compensation & Benefits: We reward top talent with robust pay, benefits, and growth opportunities.Remote Flexibility: Work from anywhere while staying closely connected to a mission-driven team.Inclusive Environment: We celebrate diverse perspectives and are committed to creating an equitable workplace.Harbor Health is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law. We are committed to creating an inclusive environment for all clinicians and teammates and actively encourage applications from people of all backgrounds.Originally posted on Himalayas