Commercial Product Director

About the role

One of our health plan clients is building a new ASO (Administrative Services Only)/self-funded product offering from the ground up. The client seeks individuals with direct, hands‑on experience developing and launching ASO/self‑funded products, not just supporting or administering existing offerings. This is a highly execution‑focused engagement requiring someone who can ramp up quickly and contribute meaningful deliverables within the first month.

The client is open to either of the following staffing options:

• Option 1: One individual who can perform both Lead ASO product strategy and product definition, developing detailed requirements, documentation, and implementation activities.
• Option 2: Two separate resources:
  • Commercial Product Director: Own ASO strategy, product design, market positioning, pricing structures, network strategy, and product definition.
  • Business Analyst / Benefit Configuration Analyst: Gather requirements, create documentation, support benefit configuration, and translate business needs into actionable implementation requirements.

Prior TPA or self‑funded health plan experience is strongly preferred.

Responsibilities

• Develop ASO product strategy and define product offerings.
• Create detailed requirements, documentation, and implementation plans.
• Own product design, market positioning, pricing structures (including PEPM fee structures, implementation fees, and network access fees), network strategy, and product definition.
• Gather and document business requirements; support benefit configuration.
• Translate business needs into actionable implementation requirements.
• Handle stop‑loss placement, administration, and strategy.
• Design shared savings models and risk arrangements.
• Establish performance guarantees and service‑level commitments.
• Contribute to ASO network design and product development.

Requirements

• Direct, hands‑on experience developing and launching ASO/self‑funded health plan products (not just administering existing offerings).
• Prior experience with a TPA or self‑funded health plan is strongly preferred.
• Expertise in administrative pricing and underwriting support.
• Knowledge of PEPM fee structures, implementation fees, and network access fees.
• Experience with stop‑loss placement, administration, and strategy.
• Background in shared savings models and risk arrangements.
• Familiarity with performance guarantees and service‑level commitments.
• Experience in ASO network design and product development.