[Hiring] VP of Benefit Plan Design & Strategy @The Harbor Health Team

Role Description

Harbor Health is looking for a VP of Benefit Plan Design & Strategy to lead the design of our health plan portfolio, both large group and ACA Individual/Family Marketplace products. This is a senior product leadership role reporting to our Chief Product Officer, and it sits right at the center of how Harbor Health turns our payvider model into plans members actually want to buy. You'll own plan design end to end:

• Benefit structure
• Metal tier and actuarial value strategy
• Filing and compliance
• Creative thinking that makes our plans stand out in a crowded market

This is a builder's seat at a company still writing its own rulebook, so it takes real depth and real range.

Qualifications

• 10+ years of experience in health plan product or plan design, with direct, hands-on experience designing large group commercial plans.
• Deep understanding of actuarial value calculations, metal tier structuring, essential health benefits, and CMS/state DOI filing requirements.
• Experience at a payer, payvider, or health plan, with a track record of plans that succeeded in the market, not just on paper.
• Strong cross-functional partnership skills, working daily with actuarial, network, compliance, clinical, and finance leaders.
• A genuinely creative approach to plan design, able to find unique angles in benefit structures.
• Bachelor's degree required; an advanced degree in health administration, actuarial science, or a related field is a plus.
• Direct, hands-on experience designing and filing ACA Individual/Family Marketplace plans (preferred, not required).

Requirements

• Lead the design and ongoing evolution of Harbor Health's large group and ACA Individual/Family Marketplace plan portfolios, from benefit structure through go-to-market.
• Partner closely with actuarial, network, and compliance teams to ensure plan designs are priced accurately, competitively positioned, and compliant with CMS and state DOI requirements.
• Own the ACA metal tier and actuarial value strategy, ensuring compliance with essential health benefit requirements while differentiating Harbor Health in the Marketplace.
• Drive the annual plan filing strategy, collaborating across legal, compliance, and finance to meet state and federal deadlines.
• Bring genuinely creative, member-centered thinking to benefit design, finding ways to differentiate Harbor Health's plans beyond price.
• Build and present plan strategy and portfolio recommendations to executive leadership.
• Track competitor plan filings, market trends, and regulatory changes that affect plan design decisions.
• Mentor and develop team members as the plan design function grows.

Benefits

• Opportunity to shape how Harbor Health designs and brings health plans to market, both large group and ACA Individual/Family, from the ground up.
• Collaborative and dynamic work environment.
• An organization made of people who are passionate about changing the healthcare landscape.
• Competitive salary and benefits package.
• Professional development and growth opportunities.
• A transparent and unique culture.

Company Description

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!