Health Plan Benefit Director

Brief Description

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.

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 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
• Cover 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

Required DESIRED PROFESSIONAL SKILLS & EXPERIENCE

• 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 TDID
• 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

• Competitive salary and incentives
• Generous PTO
• 10 paid holidays
• Medical, Dental, and Vision Insurance
• 401(k) Investment Plan
• Company Equity
• Professional development and growth opportunities

At Harbor Health

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