Director, Employer Segments (Healthcare Product Operations)

About the Role

Responsible for translating, implementing and operationalizing the product strategy across all employer‑facing lines of business: Large Group Fully Insured (LG FI), Small Group Fully Insured (SG FI), ASO/Self‑Insured, Level Funded, joint/shared administration arrangements, and Ancillary products. Supports the organization’s strategy to grow FI, Self‑Funded and Level Funded membership, modernize its administration platform, compete for joint‑administration accounts, and launch innovative large‑group product capabilities. Maintains and enhances the existing employer book, redesigns the administration model for scalability and compliance, drives joint‑administration implementation with TPA and co‑carrier partners, supports the build and implementation of new ASO capabilities, and leads the FI and ancillary product platforms. Translates the Employer Segment’s business priorities into market‑ready, financially sound, operationally executable product designs and holds the team accountable for on‑time delivery, regulatory readiness, and product quality. Partners with sales leadership in client‑facing presentations as the product subject‑matter expert, fielding questions and articulating technical and operational details in real time.

Responsibilities

• Drive product delivery and implementation of the employer segment strategy across LG FI, SG FI, ASO/Self‑Insured, Level Funded, and Ancillary products.
• Define the multi‑year product roadmap aligned to GM’s P&L priorities, growth targets, and competitive positioning.
• Lead ASO product management and operations with deep subject‑matter expertise in self‑funded employee benefits.
• Define ASO standard vs. non‑standard product guardrails and value proposition; shape the service model in partnership with admin services, reporting, stop‑loss, and care‑management teams.
• Set benefit design standards and regulatory filing strategy for the employer book; establish medical benefit templates, plan structures, and network configurations for LG FI and SG FI; ensure all employer products are rate‑able, DFS compliant, and aligned with actuarial pricing assumptions.
• Lead, develop, and hold accountable a team (ASO Products, FI & SG Products, Ancillary); set clear role expectations, provide coaching and development, conduct performance reviews, and build a high‑performing product team.
• Partner with the GM, Employer Segment, and Sales leadership to translate market priorities into clear product direction; support RFP responses, broker strategy, and account‑level product decisions; equip the Sales team with competitive, accurate product positioning.
• Identify growth opportunities across ASO, LG expansion, SG retention, and ancillary lines; drive deeper product penetration within the existing employer book.
• Coordinate cross‑functionally with Actuarial, Legal, Compliance, IT, Network, Operations, Communications, and other stakeholders to move products from design to launch‑ready state; serve as primary decision‑maker and escalation point for employer product issues; represent the product function in executive forums and regulatory discussions.

Qualifications

Education

• Bachelor’s degree in Business, Health Administration, Public Health, Finance, or a related field (required).
• Master’s degree (MBA, MHA, MPH) strongly preferred.

Experience & Skills

• 10–12+ years of progressive experience in health‑insurance product management (required).
• 5+ years in a Director or senior leadership role (required).
• Deep ASO/self‑funded product expertise, including design and management of ASO platforms, service models, stop‑loss structures, and employer‑specific configurations in a regulated health‑plan environment (required).
• Fully Insured product experience in Large Group and/or Small Group markets, covering benefit design, ACA compliance, DFS filing requirements, and New York community‑rating rules (required).
• Proven experience leading and developing product teams; ability to hire, coach, and hold senior managers accountable (required).
• Strong cross‑functional partnership skills with Actuarial, Sales, Legal, Compliance, Network, and Operations functions (required).
• Regulatory knowledge of New York market requirements (DFS, ACA, ERISA, NYS DFS rate filing processes) (required).
• Ancillary product experience (Dental, Vision, Rx) (preferred).
• Exceptional verbal and written communication skills; ability to present product strategy clearly to executive leadership, sales leadership, and external stakeholders (required).

Pay

Hiring Range: $113,400 – $210,600