Director – Health Plan Benefits, Product Development
Texicare
full-time
Posted on:
Location Type: Hybrid
Location: Austin • Texas • United States
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Job Level
About the role
- Defines long-term product vision, priorities, and multi-year roadmap aligned with enterprise strategy, market needs, and the unique dynamics of the Texas health care market.
- Oversees the full lifecycle management of medical and ancillary products, including development, optimization, performance monitoring, and sunsetting decisions.
- Collaborates closely with Sales, Medical Management, and Network teams to understand market needs, broker feedback, and clinical priorities to inform innovative and differentiated product offerings tailored to Texas members and employers.
- Partners with Actuary and Finance to design competitively priced plan offerings that balance cost, profitability, and incentives for appropriate utilization of services.
- Leads business case development for new product concepts, benefit enhancements, and ancillary programs, encouraging creative solutions that position the organization competitively in Texas.
- Ensures the team leverages market trends, competitor insights, and member feedback to drive innovative product improvements.
- Maintains ultimate accountability for regulatory compliance, accuracy, and clarity of all plan documents, including SBCs, SPDs, COCs, and internal/external collateral.
- Provides strategic oversight and accountability for all ancillary product offerings, ensuring they are innovative and tailored to meet the unique needs of Texas members.
Requirements
- A bachelor’s degree or any equivalent combination of education, training, and experience.
- At least 8 years of experience in product development, benefits, or health plan operations or any equivalent combination of education, training, and experience.
- Experience managing product documentation (SBC/SPD), regulatory compliance, and product lifecycle.
- Strong understanding of health plan operations, benefit design, and pricing strategy.
- Proven experience leading cross-functional initiatives and teams.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
product developmentbenefit designpricing strategyregulatory complianceproduct lifecycle managementbusiness case developmentperformance monitoringmarket analysiscompetitive pricingancillary programs
Soft Skills
collaborationleadershipstrategic oversightcreative problem solvingaccountabilitycommunicationcross-functional team managementfeedback integrationinnovationmarket trend analysis