Product Manager - Benefits

Position Overview

Harbor 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.

Position Duties & Responsibilities

• Own 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 implementation
• Contribute 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 operations
• Collaborate with Engineering to prioritize, scope, and deliver features across the Benefits pod
• Work with Compliance and Legal to ensure benefit product build meet regulatory requirements across markets

Desired Professional Skills & Experience

• 4+ years of product management experience, with at least 1-2 years in healthcare, health tech, or health plan operations
• Understanding 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 platform
• Familiarity with how claims are adjudicated and how benefit configuration impacts member cost-sharing outcomes
• Strong analytical skills; comfortable working with claims data, utilization metrics, and financial models
• Ability to manage complexity across multiple stakeholders Operations, Clinical, Compliance, Engineering) while maintaining clear documentation
• Bonus: experience with TPA or core admin platforms, benefits configuration tools, or value-based benefit design
• Bonus: familiarity with CMS regulatory requirements for plan benefit design
• Interest and understanding in Harbor Healthʼs “payvidorˮ business model, and the enormous impacts it will have on the American healthcare system

Benefits

• Transformational 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.