COMPANY OVERVIEW
Harbor Health is on a mission to disrupt the outdated US healthcare system. Leveraging a revolutionary payvidor model, we are creating an entirely new approach to care—one that delivers improved quality, reduced cost, greater access, and an exceptional experience.
Our vision is supported by intelligent, anticipatory clinical systems and aligned benefits that place the member at the center. If youʼre inspired by the opportunity to rebuild healthcare from the ground up with cutting-edge technology and a member-focused mindset, we want to hear from you!
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.
This is a high-impact role for someone who is excited to tackle deeply complex, often opaque parts of the healthcare system and turn them into intuitive, efficient, and member-friendly experiences. You’ll operate at the intersection of product, healthcare economics and operations to redefine how health plans work at a fundamental level.
If you’re motivated by translating complex benefit designs into scalable, tech-enabled systems, this role offers a rare opportunity to build from first principles.
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
- 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.
Skills Required
- 4+ years product management experience
- At least 1-2 years experience in healthcare, health tech, or health plan operations
- Understanding of health plan benefit design concepts including cost-sharing, network tiering, claims adjudication, and plan documents
- Experience translating business rules into system requirements for claims or benefits administration platforms
- Familiarity with claims adjudication 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
- Experience with TPA or core admin platforms, benefits configuration tools, or value-based benefit design
- Familiarity with CMS regulatory requirements for plan benefit design
- Interest and understanding of the payvidor business model
What We Do
Why Harbor? Here, flourishing is everything. Simply put: you’re a person, not a patient. And we all want to get and stay healthy — but the current way doesn’t make us feel part of the process. Start your health journey with us and you won’t have to go it alone. We’ll collaborate to make the right choices along the way — from where you get your care (a clinic, your office, your home, a mobile office) to how we help you get and stay well. That’s the co-creation of health.
